GOOD SHEPHERD MEDICAL/DENTAL CLINIC
NPI 1770158339
Pharmacy - Specialty Pharmacy in Laurel, MS

Active since May 25, 2021
207 S 11TH AVE, LAUREL, MS 39440(601) 426-2001(601) 426-2002 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Good Shepherd Medical/dental Clinic NPPES

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

GOOD SHEPHERD MEDICAL/DENTAL CLINIC (NPI 1770158339), doing business as Good Shepherd Clinic, is a healthcare organization registered as a specialty pharmacy in Laurel, Mississippi and active in the NPI registry since May 2021. The organization lists David Wolgamott, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770158339
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameGOOD SHEPHERD MEDICAL/DENTAL CLINIC
Location Address207 S 11TH AVELaurel, MS 39440-4314
Mailing AddressPo Box 2704Laurel, MS 39442-2704 · (601) 426-2001 · Fax (601) 426-2002
Fax(601) 426-2002
Organization SubpartNo
Authorized OfficialDavid WolgamottOffice Manager · (601) 426-2001
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1770158339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
207 S 11TH AVE, Laurel, MS 39440

Other Names 1

Doing Business AsGood Shepherd Clinic

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 Good Shepherd Medical/Dental Clinic's NPI number?

The NPI number for Good Shepherd Medical/Dental Clinic is 1770158339. It was assigned to this organization in the NPPES registry on May 25, 2021. The provider is doing business as Good Shepherd Clinic.

Where is Good Shepherd Medical/Dental Clinic located?

Good Shepherd Medical/Dental Clinic is located at 207 S 11th Ave, Laurel, MS 39440. The listed phone number is (601) 426-2001.

What is Good Shepherd Medical/Dental Clinic's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

When was this NPI record last updated?

The NPPES record for Good Shepherd Medical/Dental Clinic was last updated on May 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.