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MANTACHIE PHARMACY LLC
NPI 1902474190
Pharmacy - Long Term Care Pharmacy in Mantachie, MS

Active since June 14, 2021
3309 HIGHWAY 371 N, MANTACHIE, MS 38855(662) 282-7000(662) 282-7007 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mantachie Pharmacy Llc NPPES

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

MANTACHIE PHARMACY LLC (NPI 1902474190) is a healthcare organization registered as a long term care pharmacy in Mantachie, Mississippi and active in the NPI registry since June 2021. The organization lists Katlyn Spradling, Owner, as its authorized official.

NPPES Registry Identity

NPI1902474190
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMANTACHIE PHARMACY LLC
Location Address3309 HIGHWAY 371 NMantachie, MS 38855-7267
Mailing AddressPo Box 96Mantachie, MS 38855-0096 · (662) 282-7000
Phone(662) 282-7000
Fax(662) 282-7007
Organization SubpartNo
Authorized OfficialKatlyn SpradlingOwner · (662) 282-7000
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1902474190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
3309 HIGHWAY 371 N, Mantachie, MS 38855
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

KATLYN SPRADLING
Pharmacist
3309 HIGHWAY 371 N
MANTACHIE, MS 38855
Itawamba County (662) 322-3901
MANTACHIE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
3309 HIGHWAY 371 N
MANTACHIE, MS 38855
Itawamba County (662) 282-7000

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 Mantachie Pharmacy LLC's NPI number?

The NPI number for Mantachie Pharmacy LLC is 1902474190. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Mantachie Pharmacy LLC located?

Mantachie Pharmacy LLC is located at 3309 Highway 371 N, Mantachie, MS 38855. The listed phone number is (662) 282-7000.

What is Mantachie Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Mantachie Pharmacy LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Kansas City and 2 other insurers list Mantachie 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 Mantachie Pharmacy LLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.