TYSONS MEDICAL CENTER PHARMACY
NPI 1932104650
Pharmacy in Holly Springs, MS

Active since June 17, 2005
530 J M ASH DR, HOLLY SPRINGS, MS 38635(662) 252-1011(662) 252-1189 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tysons Medical Center Pharmacy NPPES

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

TYSONS MEDICAL CENTER PHARMACY (NPI 1932104650) is a healthcare organization registered as a pharmacy in Holly Springs, Mississippi and active in the NPI registry since June 2005. The organization lists Robert Hudson Lomenick, Owner/ Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1932104650
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameTYSON DRUGS INC
Location Address530 J M ASH DRHolly Springs, MS 38635-3238
Mailing Address530 J M Ash DrHolly Springs, MS 38635-3238 · (662) 252-1011 · Fax (662) 252-1189
Fax(662) 252-1189
Organization SubpartYes
Authorized OfficialRobert Hudson LomenickOwner/ Pharmacist · (662) 252-1011
Enumeration DateJune 17, 2005
Last NPPES UpdateJanuary 20, 2012
NPI 1932104650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MS · 0432/01.1
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License F04232 (MS)
530 J M ASH DR, Holly Springs, MS 38635

Other Names 1

Doing Business AsTysons Medical Center Pharmacy

Other Identifiers 3

Other2519354Ncpdp
Medicaid00330425MS
Medicare NSC6578090001

Other Providers at the Same Location NPPES

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

Pharmacy (Specialty Pharmacy)
530 J M ASH DR
HOLLY SPRINGS, MS 38635

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 Tyson Drugs Inc's NPI number?

The NPI number for Tyson Drugs Inc is 1932104650. It was assigned to this organization in the NPPES registry on June 17, 2005. The provider is doing business as Tysons Medical Center Pharmacy.

Where is Tyson Drugs Inc located?

Tyson Drugs Inc is located at 530 J M Ash Dr, Holly Springs, MS 38635. The listed phone number is (662) 252-1011.

What is Tyson Drugs Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Tyson Drugs Inc was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.