OrganizationActive
Advantage Pharmacy
NPI 1629235882 · Community/Retail Pharmacy · Hattiesburg, MS
Provider details
- NPI number
- 1629235882
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Glenn Beach, Mang Partner(601) 268-1422
Specialties & taxonomies
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6375 U S Highway 98
Suite 50
Hattiesburg, MS 39402-7410
Phone: (601) 268-1422
Fax: (601) 268-1424
Street-level locationGet directions
Mailing address
6375 U S Highway 98
Hattiesburg, MS 39402-7410
Other names (DBA / former)
- Doing business as
- Advantage Pharmacy
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2014-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.