MADISON MEDICAL COMPOUNDING PHARMACY – NPI #1912488198
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Health Care Provider Taxonomy Code for Pharmacist

MADISON MEDICAL COMPOUNDING PHARMACY is a pharmacist located in MADISON, MS. NPPES has assigned the NPI number 1912488198 to MADISON MEDICAL COMPOUNDING PHARMACY on August 24, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MADISON MEDICAL COMPOUNDING PHARMACY below.

NPI Profile for
MADISON MEDICAL COMPOUNDING PHARMACY

NPI Number
1912488198
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MADISON MEDICAL COMPOUNDING PHARMACY
Primary location
111 FOUNTAINS BLVD. BUILDING B STE. A
MADISON, MS 39110
Phone: (601) 707-7545 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KRISTEN CHAMBERS
PHARMACIST IN CHARGE
Phone: (662) 820-4305
Updated
Identifiers

Identifiers for MADISON MEDICAL COMPOUNDING PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEAFM7614642
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)		 MS 17118
3336S0011X
- Pharmacy / Specialty Pharmacy		 MS 17118

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.