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MEDISTART PHARMACY
NPI 1811009814
Pharmacy - Compounding Pharmacy in Jackson, MS

Active since August 31, 2006
3188 W NORTHSIDE DR, JACKSON, MS 39213(601) 321-8883(601) 321-0981 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medistart Pharmacy NPPES

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

MEDISTART PHARMACY (NPI 1811009814) is a healthcare organization registered as a compounding pharmacy in Jackson, Mississippi and active in the NPI registry since August 2006. The organization lists Khalid Mokhtar, President, as its authorized official.

NPPES Registry Identity

NPI1811009814
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameMEDI START INC
Location Address3188 W NORTHSIDE DRJackson, MS 39213-4516
Mailing Address3188 W Northside DrJackson, MS 39213-4516
Phone(601) 321-8883
Fax(601) 321-0981
Organization SubpartNo
Authorized OfficialKhalid MokhtarPresident · (601) 899-5621
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 12, 2007
✔ NPI 1811009814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in MS · 0695011
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
3188 W NORTHSIDE DR, Jackson, MS 39213
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Other Names 1

Doing Business AsMedistart Pharmacy

Other Identifiers 3

Medicaid06133579MS
Other2586660Other Id Number-commercial Number
Other2586660Other Id Number

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 Medi Start Inc's NPI number?

The NPI number for Medi Start Inc is 1811009814. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Medistart Pharmacy.

Where is Medi Start Inc located?

Medi Start Inc is located at 3188 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 321-8883.

What is Medi Start Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Medi Start Inc was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.