OrganizationActive
Thirteenth Avenue Pharmacy
NPI 1689898579 · Community/Retail Pharmacy · Laurel, MS
Thirteenth Avenue Pharmacy is a Community/Retail Pharmacy organization in Laurel, MS (NPI 1689898579).
Provider details
- NPI number
- 1689898579
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kyle Mauldin, Owner Pharmacist(601) 428-7257
- License
- 01527 (MS)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 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
216 S 13th Ave
Laurel, MS 39440-4226
Phone: (601) 428-7257
Street-level locationGet directions
Mailing address
216 S 13th Ave
Laurel, MS 39440-4226
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Thirteenth Avenue Pharmacy's NPI number?
- Thirteenth Avenue Pharmacy's National Provider Identifier (NPI) is 1689898579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thirteenth Avenue Pharmacy?
- Thirteenth Avenue Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Thirteenth Avenue Pharmacy located?
- Thirteenth Avenue Pharmacy's practice location on file with NPPES is 216 S 13th Ave, Laurel, MS 39440-4226.
- What is Thirteenth Avenue Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Thirteenth Avenue Pharmacy is (601) 428-7257.
- Who is the authorized official for Thirteenth Avenue Pharmacy?
- The authorized official listed on Thirteenth Avenue Pharmacy's NPPES record is Kyle Mauldin, Owner Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thirteenth Avenue Pharmacy's NPI active?
- Yes — Thirteenth Avenue Pharmacy's NPI (1689898579) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.