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SUMMIT EXPRESS PHARMACY LLC
NPI 1720586332
Pharmacy - Community/Retail Pharmacy in Summit, MS

Active since January 29, 2018CLIA 25D2244819 · Waiver
105 S LAUREL ST, SUMMIT, MS 39666(601) 465-0500 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2022, Jul 13, 2018, Jun 12, 2018 (3 updates tracked since 2018).

About Summit Express Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT EXPRESS PHARMACY LLC (NPI 1720586332) is a healthcare organization registered as a community/retail pharmacy in Summit, Mississippi and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Marty Bigner, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1720586332
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUMMIT EXPRESS PHARMACY LLC
Location Address105 S LAUREL STSummit, MS 39666
Mailing AddressPo Box 1310Summit, MS 39666-1301
Phone(601) 465-0500
Organization SubpartNo
Authorized OfficialMarty BignerPharmacist · (601) 465-0500
Enumeration DateJanuary 29, 2018
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1720586332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

105 S LAUREL ST, Summit, MS 39666
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Other Identifiers 1

Medicaid04922559MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2244819

Summit Express Pharmacy LLC Dba Summit Express Pharmacy · Summit, MS
Active · expires Dec 5, 2027
CLIA Number25D2244819
Laboratory TypePharmacy
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorTim Stamps
Laboratory Phone(601) 465-0500
Laboratory LocationSummit Express Pharmacy LLC Dba Summit Express Pharmacy105 S Laurel St, Summit, MS 39666
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
377 services375 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
223 services223 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
134 services133 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
55 services55 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
55 services55 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Summit Express Pharmacy carries, from the Medicare DMEPOS supplier directory.

Summit Express Pharmacy

DMEPOS supplier · Summit, MSOperated by Summit Express Pharmacy LLC
✔

Accepts Medicare assignment

Summit Express Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20454533
Medicare Participant SinceJune 23, 2018
Supplier Location105 S Laurel StSummit, MS 39666
Phone(601) 465-0500
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Express Pharmacy LLC's NPI number?

The NPI number for Summit Express Pharmacy LLC is 1720586332. It was assigned to this organization in the NPPES registry on January 29, 2018.

Where is Summit Express Pharmacy LLC located?

Summit Express Pharmacy LLC is located at 105 S Laurel St, Summit, MS 39666. The listed phone number is (601) 465-0500.

What is Summit Express Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Summit Express Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Summit Express Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Summit Express Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2244819) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Express Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 53 other insurers list Summit Express Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Express Pharmacy LLC was last updated on August 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.