OrganizationActive
Hattiesburg Clinic PA
NPI 1407861016 · Community/Retail Pharmacy · Hattiesburg, MS
Hattiesburg Clinic PA is a Community/Retail Pharmacy organization in Hattiesburg, MS (NPI 1407861016).
Provider details
- NPI number
- 1407861016
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Diane Ashley, Phcy Dir(601) 268-2740
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(91/100 index)
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
Medical Blvd
Ste 2
Hattiesburg, MS 39401
Phone: (601) 268-5740
Fax: (601) 268-5858
Approximate (ZIP-level) locationGet directions
Mailing address
Medical Blvd
Hattiesburg, MS 39401
Other names (DBA / former)
- Doing business as
- Owl Drug Store
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2017-02-21
Frequently asked questions
- What is Hattiesburg Clinic PA's NPI number?
- Hattiesburg Clinic PA's National Provider Identifier (NPI) is 1407861016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hattiesburg Clinic PA?
- Hattiesburg Clinic PA is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Hattiesburg Clinic PA located?
- Hattiesburg Clinic PA's practice location on file with NPPES is Medical Blvd, Hattiesburg, MS 39401.
- What is Hattiesburg Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Hattiesburg Clinic PA is (601) 268-5740.
- Who is the authorized official for Hattiesburg Clinic PA?
- The authorized official listed on Hattiesburg Clinic PA's NPPES record is Diane Ashley, Phcy Dir. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hattiesburg Clinic PA's NPI active?
- Yes — Hattiesburg Clinic PA's NPI (1407861016) is active in the NPPES registry as of the last update on 2017-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.