OrganizationActive
Sumrall Drug Store LLC
NPI 1366004731 · Long Term Care Pharmacy · Sumrall, MS
Provider details
- NPI number
- 1366004731
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tasha Haden, Pharmacist/Owner(601) 758-4243
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1109 Hwy 42
Sumrall, MS 39482
Phone: (601) 758-4243
Fax: (601) 758-4999
Street-level locationGet directions
Mailing address
Po Box 120
Sumrall, MS 39482-0120
Other names (DBA / former)
- Doing business as
- Sumrall Drug Store Long Term Care
Registry dates
- Enumerated
- 2019-07-05
- Last updated
- 2020-10-30
- Certified
- 2020-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.