Tyson Drugs Inc
NPI 1932104650ActiveOrganization· Pharmacy· Holly Springs, MS
Pharmacy in Holly Springs, Mississippi, registered in NPPES in June 2005, part of Tyson Drugs Inc. The authorized official on file is Robert Hudson Lomenick, RPH, Owner/ Pharmacist.
Overview
| NPI | 1932104650 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tyson Drugs Inc |
| NPI issued | Jun 17, 2005 |
| Last updated in NPPES | Jan 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 0432/01.1 | MS |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | F04232 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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