1447324967 NPI number — TRANSCRIPT PHARMACY INC

Table of content: (NPI 1447324967)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447324967 NPI number — TRANSCRIPT PHARMACY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSCRIPT PHARMACY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447324967
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2506 LAKELAND DR
Provider Second Line Business Mailing Address:
STE 201
Provider Business Mailing Address City Name:
FLOWOOD
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39232-7640
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1815 HIGHWAY 39 N
Provider Second Line Business Practice Location Address:
STE E
Provider Business Practice Location Address City Name:
MERIDIAN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39301-2732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-483-4541
Provider Business Practice Location Address Fax Number:
601-420-4040
Provider Enumeration Date:
11/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OSBON
Authorized Official First Name:
CLIFTON
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
601-420-4041

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  0646026 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2586711 . This is a "OTHER ID NUMBER-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".




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