OrganizationActive
Midsouth Medical Specialties, LLC
NPI 1255677001 · Community/Retail Pharmacy · Hernando, MS
Midsouth Medical Specialties, LLC is a Community/Retail Pharmacy organization in Hernando, MS (NPI 1255677001).
Provider details
- NPI number
- 1255677001
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Eddie O'Bannon, Owner(662) 449-9075
- License
- 11889 (MS)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2260 Highway 515 South
Hernando, MS 38632
Phone: (662) 449-9075
Fax: (662) 449-3414
Approximate (ZIP-level) locationGet directions
Mailing address
2260 Highway 515 South
Hernando, MS 38632
Other names (DBA / former)
- Doing business as
- Super Drugs #2
Registry dates
- Enumerated
- 2012-12-26
- Last updated
- 2012-12-26
Frequently asked questions
- What is Midsouth Medical Specialties, LLC's NPI number?
- Midsouth Medical Specialties, LLC's National Provider Identifier (NPI) is 1255677001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midsouth Medical Specialties, LLC?
- Midsouth Medical Specialties, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Midsouth Medical Specialties, LLC located?
- Midsouth Medical Specialties, LLC's practice location on file with NPPES is 2260 Highway 515 South, Hernando, MS 38632.
- What is Midsouth Medical Specialties, LLC's phone number?
- The practice phone number listed in the NPPES registry for Midsouth Medical Specialties, LLC is (662) 449-9075.
- Who is the authorized official for Midsouth Medical Specialties, LLC?
- The authorized official listed on Midsouth Medical Specialties, LLC's NPPES record is Eddie O'Bannon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midsouth Medical Specialties, LLC's NPI active?
- Yes — Midsouth Medical Specialties, LLC's NPI (1255677001) is active in the NPPES registry as of the last update on 2012-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.