Provider Demographics
NPI:1265576995
Name:MAYS PHARMACY
Entity type:Organization
Organization Name:MAYS PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:TURMAN
Authorized Official - Last Name:MCNULTY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:662-562-8550
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:4385 HWY 51 SOUTH
Mailing Address - City:SENATOBIA
Mailing Address - State:MS
Mailing Address - Zip Code:38668
Mailing Address - Country:US
Mailing Address - Phone:662-562-8550
Mailing Address - Fax:662-562-8747
Practice Address - Street 1:4385 HWY 51 SOUTH
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668
Practice Address - Country:US
Practice Address - Phone:662-562-8550
Practice Address - Fax:662-562-8747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS00440606332B00000X
MS0014210113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2507070OtherNCPDP
MS00440606OtherMEDICAID DME
MS069016541OtherSTATE TAX ID
MS0033073Medicaid
MS0033073Medicaid