Southern Specialty Clinic, LLC
NPI 1730903113ActiveOrganization· Pharmacy· Flowood, MS
Pharmacy in Flowood, Mississippi, registered in NPPES in November 2024, part of Southern Specialty Clinic, LLC. The authorized official on file is Sharon Marie Pennington, MD, Chief Executive Officer. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1730903113 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southern Specialty Clinic, LLC |
| NPI issued | Nov 12, 2024 |
| Last updated in NPPES | Nov 12, 2024 |
| Certified by provider | Nov 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
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 - Pharmacy (MS) |
|---|
Other Pharmacy providers in Flowood
- 1336735349
- 1245531573
- 1851313548
- 1689773996
- 1912452921
- 1740279819
- 1285646299