Magic Mart Pharmacy,inc
NPI 1194804591ActiveOrganization· Pharmacy· Indianola, MS
Pharmacy in Indianola, Mississippi, registered in NPPES in November 2006. The authorized official on file is Guy M. Malone, President. Medicare paid $3,835 for services to 35 patients in 2024.
Overview
| NPI | 1194804591 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2006 |
| Last updated in NPPES | Dec 19, 2019 |
| Certified by provider | Dec 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 01301 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 70 across 5 procedure codes |
| Paid by Medicare | $3,835 |