PRIME URGENT MEDICAL CLINIC
NPI 1891171351
Pharmacy - Clinic Pharmacy in Southaven, MS

Active since August 07, 2015
176 GOODMAN RD W, SOUTHAVEN, MS 38671(662) 510-6981(662) 510-6987 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prime Urgent Medical Clinic NPPES

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

PRIME URGENT MEDICAL CLINIC (NPI 1891171351) is a healthcare organization registered as a clinic pharmacy in Southaven, Mississippi and active in the NPI registry since August 2015. The organization lists Clark Levi, Member, as its authorized official.

NPPES Registry Identity

NPI1891171351
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NamePRIME URGENT MEDICAL CLINIC
Location Address176 GOODMAN RD WSouthaven, MS 38671-9405
Mailing Address1019 Government St, Suite FOcean Springs, MS 39564-3860 · (288) 447-3823 · Fax (228) 447-3812
Fax(662) 510-6987
Organization SubpartNo
Authorized OfficialClark LeviMember · (228) 447-3823
Enumeration DateAugust 7, 2015
Last NPPES UpdateMay 10, 2016
NPI 1891171351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in MS · 14440
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

176 GOODMAN RD W, Southaven, MS 38671

Other Names 1

Doing Business AsPrime Urgent Medical Clinic

Other Identifiers 1

Other2153376Pk

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
176 GOODMAN RD W
SOUTHAVEN, MS 38671
Family Medicine
176 GOODMAN RD W
SOUTHAVEN, MS 38671
Nurse Practitioner (Family)
176 GOODMAN RD W
SOUTHAVEN, MS 38671
Family Medicine
176 GOODMAN RD W
SOUTHAVEN, MS 38671

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 Prime Urgent Medical Clinic's NPI number?

The NPI number for Prime Urgent Medical Clinic is 1891171351. It was assigned to this organization in the NPPES registry on August 7, 2015.

Where is Prime Urgent Medical Clinic located?

Prime Urgent Medical Clinic is located at 176 Goodman Rd W, Southaven, MS 38671. The listed phone number is (662) 510-6981.

What is Prime Urgent Medical Clinic's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Prime Urgent Medical Clinic was last updated on May 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.