OrganizationActive
Midsouth Medical Specialties LLC
NPI 1932864667 · Community/Retail Pharmacy · Horn Lake, MS
Midsouth Medical Specialties LLC is a Community/Retail Pharmacy organization in Horn Lake, MS (NPI 1932864667).
Provider details
- NPI number
- 1932864667
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jake O'Bannon, Pharmacist(662) 280-7455
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1433 Goodman Rd W
Horn Lake, MS 38637-1404
Phone: (901) 674-3148
Street-level locationGet directions
Mailing address
1433 Goodman Rd W
Horn Lake, MS 38637-1404
Other names (DBA / former)
- Doing business as
- Super Drugs
- Doing business as
- Super Drugs
Registry dates
- Enumerated
- 2021-11-08
- Last updated
- 2021-11-08
- Certified
- 2021-11-08
Frequently asked questions
- What is Midsouth Medical Specialties LLC's NPI number?
- Midsouth Medical Specialties LLC's National Provider Identifier (NPI) is 1932864667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midsouth Medical Specialties LLC?
- Midsouth Medical Specialties LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Midsouth Medical Specialties LLC located?
- Midsouth Medical Specialties LLC's practice location on file with NPPES is 1433 Goodman Rd W, Horn Lake, MS 38637-1404.
- What is Midsouth Medical Specialties LLC's phone number?
- The practice phone number listed in the NPPES registry for Midsouth Medical Specialties LLC is (901) 674-3148.
- Who is the authorized official for Midsouth Medical Specialties LLC?
- The authorized official listed on Midsouth Medical Specialties LLC's NPPES record is Jake O'Bannon, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midsouth Medical Specialties LLC's NPI active?
- Yes — Midsouth Medical Specialties LLC's NPI (1932864667) is active in the NPPES registry as of the last update on 2021-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.