Medistart Pharmacy

LBN: Medi Start Inc
Medistart Pharmacy is an health care organization with primary practice located at 3188 W Northside Dr , Jackson MS 39213-4516. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Medi Start Inc can be contacted via phone (601) 321-8883, or through Mokhtar, Khalid via phone (601) 899-5621.

Contact Information

Primary practice address
3188 W Northside Dr Jackson MS 39213-4516
Phone: (601) 321-8883
Fax: (601) 321-0981
Website:
Map and Directions
Authorized official contact:
Name: Mokhtar, Khalid RPH
Phone: (601) 899-5621

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 0695011 Mississippi

Profile Details

NPI number 1811009814
LBN Legal business name Medi Start Inc
DBA Doing business as Medistart Pharmacy
Authorized official Mokhtar, Khalid RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 12th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811009814 NPPES
Other 2586660 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 06133579 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 2586660 OTHER ID NUMBER-COMMERCIAL NUMBER

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