TYSON DRUGS INC
NPI 1972508695
Pharmacy - Community/Retail Pharmacy in Holly Springs, MS

Q: What is Tyson Drugs Inc's NPI number?

The NPI number for Tyson Drugs Inc is 1972508695. It was assigned to this organization in the NPPES registry on June 17, 2005.

Q: What is Tyson Drugs Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Tyson Drugs Inc was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 17, 2005

145 E VAN DORN AVE, HOLLY SPRINGS, MS 38635(662) 252-2321(662) 252-1656 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tyson Drugs Inc NPPES

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

TYSON DRUGS INC (NPI 1972508695) is a healthcare organization registered as a community/retail pharmacy in Holly Springs, Mississippi and active in the NPI registry since June 2005. The organization lists Robert Lomenick, Owner, as its authorized official.

NPPES Registry Identity

NPI1972508695

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTYSON DRUGS INC

Location Address145 E VAN DORN AVEHolly Springs, MS 38635-3025

Mailing Address145 E Van Dorn AveHolly Springs, MS 38635-3025 · (662) 252-2321 · Fax (662) 252-1656

Phone(662) 252-2321

Fax(662) 252-1656

Organization SubpartNo

Authorized OfficialRobert LomenickOwner · (662) 252-2321

Enumeration DateJune 17, 2005

Last NPPES UpdateJanuary 7, 2015

✔ NPI 1972508695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MS · 00500/1.1

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

145 E VAN DORN AVE, Holly Springs, MS 38635

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Other Names 1

Doing Business AsTyson Drugs Inc

Other Identifiers 2

Other2043239Pk

Medicaid0034797MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

127 services125 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

117 services117 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Other Providers at the Same Location NPPES 11

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

DR. HANSON WALKER PHARMD

Pharmacist