Midsouth Medical Specialties Llc
Community/Retail Pharmacy
1433 Goodman Rd W, Horn Lake
Mississippi, 38637
662-280-7455 662-280-7457
Midsouth Medical Specialties Llc is a Community/Retail Pharmacy in Horn Lake, Mississippi. It is located at 1433 Goodman Rd W, Horn Lake and it's customer support contact number is 662-280-7455. The authorized person of Midsouth Medical Specialties Llc is Super Drugs, RPH who is Owner of the pharmacy and his contact number is 662-280-7455. Midsouth Medical Specialties Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Midsouth Medical Specialties Llc is 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.
Pharmacy Details:
Midsouth Medical Specialties Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Midsouth Medical Specialties Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1433 Goodman Rd W, Horn Lake,
Mississippi, 38637 |
| Phone: | 662-280-7455 |
| Fax: | 662-280-7457 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Super Drugs |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 662-280-7455 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1487806121 |
| NPI Enumeration Date: | 14 Oct, 2008 |
| NPI Last Update On: | 08 Jan, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Midsouth Medical Specialties Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02434788 | Medicaid | Mississippi | |
| 1534074 | Medicaid | Tennessee | |
| 2117404 | Other | | Pk |
Medicare Enrollment:
Midsouth Medical Specialties Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1153529573 | O20141009001198 | Misdouth Medical Specialties Llc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 563,
Hernando, Mississippi |
| Zip: | 38632-0563 |
| Phone Number: | 662-280-7455 |
| Fax Number: | 662-280-7457 |
Patients can reach Midsouth Medical Specialties Llc at
1433 Goodman Rd W, Horn Lake, Mississippi or can
call on customer care at 662-280-7455.
Comments/ Reviews:
Read all the reviews posted for Midsouth Medical Specialties Llc below. You may also share your own experience with Midsouth Medical Specialties Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.