South Street Pharmacy
NPI 1306906482 · Community/Retail Pharmacy · Cleveland, MS
South Street Pharmacy is a Community/Retail Pharmacy organization in Cleveland, MS (NPI 1306906482).
Provider details
- NPI number
- 1306906482
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Clark, Pharmacist Owner(662) 843-6700
- License
- 05857 (MS)
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2018-03-20
Frequently asked questions
- What is South Street Pharmacy's NPI number?
- South Street Pharmacy's National Provider Identifier (NPI) is 1306906482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Street Pharmacy?
- South Street Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is South Street Pharmacy located?
- South Street Pharmacy's practice location on file with NPPES is 410 South St, Cleveland, MS 38732-3450.
- What is South Street Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for South Street Pharmacy is (662) 843-6700.
- Who is the authorized official for South Street Pharmacy?
- The authorized official listed on South Street Pharmacy's NPPES record is Michael Clark, Pharmacist Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Street Pharmacy's NPI active?
- Yes — South Street Pharmacy's NPI (1306906482) is active in the NPPES registry as of the last update on 2018-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.