MISSISSIPPI CENTER FOR ADVANCED MEDICINE
NPI 1740636786
Pharmacy - Community/Retail Pharmacy in Madison, MS

Active since May 09, 2016
7731 OLD CANTON RD STE B, MADISON, MS 39110(601) 499-0935(601) 499-0936 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 28, 2016, Jun 17, 2016, May 9, 2016 (3 updates tracked since 2016).

About Mississippi Center For Advanced Medicine NPPES

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

MISSISSIPPI CENTER FOR ADVANCED MEDICINE (NPI 1740636786) is a healthcare organization registered as a community/retail pharmacy in Madison, Mississippi and active in the NPI registry since May 2016. The organization lists Spencer Sullivan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1740636786
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMISSISSIPPI CENTER FOR ADVANCED MEDICINE PC
Location Address7731 OLD CANTON RD STE BMadison, MS 39110-6115
Mailing Address7731 Old Canton Rd, Suite BMadison, MS 39110-6114 · (601) 499-0935 · Fax (601) 499-0936
Fax(601) 499-0936
Organization SubpartNo
Authorized OfficialSpencer SullivanPresident And Ceo · (601) 863-9764
Enumeration DateMay 9, 2016
Last NPPES UpdateOctober 5, 20163 updates tracked since enumeration
NPI 1740636786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MS · 14837/1.1
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
7731 OLD CANTON RD STE B, Madison, MS 39110

Other Names 1

Doing Business AsMississippi Center For Advanced Medicine

Other Identifiers 2

Other2160699Pk
Medicaid09587750MS

Accepted Insurance

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 Mississippi Center For Advanced Medicine PC's NPI number?

The NPI number for Mississippi Center For Advanced Medicine PC is 1740636786. It was assigned to this organization in the NPPES registry on May 9, 2016. The provider is doing business as Mississippi Center For Advanced Medicine.

Where is Mississippi Center For Advanced Medicine PC located?

Mississippi Center For Advanced Medicine PC is located at 7731 Old Canton Rd Ste B, Madison, MS 39110. The listed phone number is (601) 499-0935.

What is Mississippi Center For Advanced Medicine PC's specialty?

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

What insurance does Mississippi Center For Advanced Medicine PC accept?

Health plans from Medica and Moda Health Plan, Inc. list Mississippi Center For Advanced Medicine PC 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 Mississippi Center For Advanced Medicine PC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.