1. Home
  2. Directory
  3. Mississippi
  4. Hernando
  5. Pharmacy
  6. NPI Profile

GRACE APOTHECARY
NPI 1992139711
Pharmacy - Compounding Pharmacy in Hernando, MS

Active since August 28, 2013
185 W CENTER ST, HERNANDO, MS 38632(901) 262-4317(662) 510-0268 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Apothecary NPPES

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

GRACE APOTHECARY (NPI 1992139711) is a healthcare organization registered as a compounding pharmacy in Hernando, Mississippi and active in the NPI registry since August 2013. The organization lists Eddie D O'bannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1992139711
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameMIDSOUTH MEDICAL SPECIALTIES, LLC
Location Address185 W CENTER STHernando, MS 38632-2268
Mailing AddressPo Box 563Hernando, MS 38632-0563 · (901) 262-4317 · Fax (662) 510-0268
Phone(901) 262-4317
Fax(662) 510-0268
Organization SubpartNo
Authorized OfficialEddie D O'bannonOwner · (901) 262-4317
Enumeration DateAugust 28, 2013
✔ NPI 1992139711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
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.
185 W CENTER ST, Hernando, MS 38632
Open in Google Maps ↗

Other Names 1

Doing Business AsGrace Apothecary

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 Midsouth Medical Specialties, LLC's NPI number?

The NPI number for Midsouth Medical Specialties, LLC is 1992139711. It was assigned to this organization in the NPPES registry on August 28, 2013. The provider is doing business as Grace Apothecary.

Where is Midsouth Medical Specialties, LLC located?

Midsouth Medical Specialties, LLC is located at 185 W Center St, Hernando, MS 38632. The listed phone number is (901) 262-4317.

What is Midsouth Medical Specialties, LLC'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 Midsouth Medical Specialties, LLC was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.