Mississippi Center For Advanced Medicine Pc
Community/Retail Pharmacy
7731 Old Canton Rd Ste B, Madison
Mississippi, 39110-6115
601-499-0935 601-499-0936
Mississippi Center For Advanced Medicine Pc is a Community/Retail Pharmacy in Madison, Mississippi. It is located at 7731 Old Canton Rd Ste B, Madison and it's customer support contact number is 601-499-0935. The authorized person of Mississippi Center For Advanced Medicine Pc is Spencer Sullivan, MD who is President And Ceo of the pharmacy and his contact number is 601-863-9764. Active license number of Mississippi Center For Advanced Medicine Pc is 14837/1.1 for Community/Retail Pharmacy in Mississippi. Mississippi Center For Advanced Medicine Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mississippi Center For Advanced Medicine Pc 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:
Mississippi Center For Advanced Medicine Pc 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: | Mississippi Center For Advanced Medicine Pc |
| Type: | Community/Retail Pharmacy |
| Location: | 7731 Old Canton Rd Ste B, Madison,
Mississippi, 39110-6115 |
| Phone: | 601-499-0935 |
| Fax: | 601-499-0936 |
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: | Spencer Sullivan |
| Credentials: | MD |
| Position: | President And Ceo |
| Contact Number: | 601-863-9764 |
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: | 1740636786 |
| NPI Enumeration Date: | 09 May, 2016 |
| NPI Last Update On: | 05 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mississippi Center For Advanced Medicine Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 14837/1.1 | Mississippi | Primary | |
| Pharmacy | | | Secondary | |
| Clinic 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 |
| 2160699 | Other | | Pk |
| 09587750 | Medicaid | Mississippi | |
Medicare Enrollment:
Mississippi Center For Advanced Medicine Pc 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 |
| 1951693282 | O20160707000847 | Mississippi Center For Advanced Medicine Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 1951693282 | O20160827000009 | Mississippi Center For Advanced Medicine Pc | PART B SUPPLIER - OTHER |
| 1951693282 | O20170508002017 | Mississippi Center For Advanced Medicine Pc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7731 Old Canton Rd, Suite B
Madison, Mississippi |
| Zip: | 39110-6114 |
| Phone Number: | 601-499-0935 |
| Fax Number: | 601-499-0936 |
Patients can reach Mississippi Center For Advanced Medicine Pc at
7731 Old Canton Rd Ste B, Madison, Mississippi or can
call on customer care at 601-499-0935.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.