MANTACHIE PHARMACY LLC
NPI 1992292536
Pharmacy - Community/Retail Pharmacy in Mantachie, MS

Q: What is Mantachie Pharmacy LLC's NPI number?

The NPI number for Mantachie Pharmacy LLC is 1992292536. It was assigned to this organization in the NPPES registry on April 19, 2018. The provider is doing business as Mantachie Pharmacy.

Q: What is Mantachie Pharmacy LLC's specialty?

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

Active since April 19, 2018

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

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Aug 7, 2025, Aug 22, 2023 and 5 more (8 updates tracked since 2018).

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About Mantachie Pharmacy Llc NPPES

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

MANTACHIE PHARMACY LLC (NPI 1992292536), doing business as Mantachie Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Mantachie, Mississippi and active in the NPI registry since April 2018. The organization lists Katlyn Spradling, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1992292536

Entity TypeOrganization

Primary Taxonomy3336C0003X

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 SpradlingPharmacist · (662) 282-7000

Enumeration DateApril 19, 2018

Last NPPES UpdateSeptember 18, 20258 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1992292536 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 · 17079/1.1

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

3309 HIGHWAY 371 N, Mantachie, MS 38855

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Other Names 1

Doing Business AsMantachie Pharmacy

Other Identifiers 1

Other2177084Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

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.

71 services71 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.

64 services64 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Mantachie Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Mantachie Pharmacy LLC

DMEPOS supplier · Mantachie, MS

⋮

Does not accept Medicare assignment

Mantachie Pharmacy LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20453609

Medicare Participant SinceSeptember 1, 2018

Supplier Location3309 Highway 371 NMantachie, MS 38855

Phone(662) 282-7000

Supplier Specialties

Orthotic Personnel Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 (Long Term Care 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 1992292536. It was assigned to this organization in the NPPES registry on April 19, 2018. The provider is doing business as Mantachie Pharmacy.

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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Mantachie Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Mantachie Pharmacy LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Mantachie Pharmacy LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 33 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 September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.