OrganizationActive
Midsouth Medical Specialties, LLC
NPI 1992139711 · Compounding Pharmacy · Hernando, MS
Midsouth Medical Specialties, LLC is a Compounding Pharmacy organization in Hernando, MS (NPI 1992139711).
Provider details
- NPI number
- 1992139711
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Eddie O'Bannon, Owner(901) 262-4317
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
185 W Center St
Hernando, MS 38632-2268
Phone: (901) 262-4317
Fax: (662) 510-0268
Street-level locationGet directions
Mailing address
Po Box 563
Hernando, MS 38632-0563
Other names (DBA / former)
- Doing business as
- Grace Apothecary
Registry dates
- Enumerated
- 2013-08-28
- Last updated
- 2013-08-28
Frequently asked questions
- What is Midsouth Medical Specialties, LLC's NPI number?
- Midsouth Medical Specialties, LLC's National Provider Identifier (NPI) is 1992139711, 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 Compounding Pharmacy (Suppliers).
- Where is Midsouth Medical Specialties, LLC located?
- Midsouth Medical Specialties, LLC's practice location on file with NPPES is 185 W Center St, Hernando, MS 38632-2268.
- 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) 262-4317.
- Who is the authorized official for Midsouth Medical Specialties, LLC?
- The authorized official listed on Midsouth Medical Specialties, LLC's NPPES record is Eddie O'Bannon, Owner. 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 (1992139711) is active in the NPPES registry as of the last update on 2013-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.