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Magic Mart Pharmacy,Inc

Magic Mart Pharmacy,Inc is a healthcare organization registered as Pharmacy in Indianola, MS, holding Type 2 (organization) NPI 1194804591 since 2006. The authorized official on file is Guy Malone, President.

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NPI 1194804591
Entity type Organization (Type 2)
Legal business name Magic Mart Pharmacy,Inc
Practice address 903 HIGHWAY 82 E BLDG G, Indianola, MS, 38751
Phone 6628874135
Fax 6628879703
Enumeration date 2006-11-04
Last updated in NPPES 2019-12-19

Authorized official

Name Guy Malone
Title President
Phone 6628874135

Taxonomy & classification

Taxonomy code Specialty Primary License State
333600000X Pharmacy Primary 01301 MS

Other identifiers

Identifier Type State Issuer
0966510001 Other MS MEDICARE DME
2517324 Other MS NCPDP
00330007 Medicaid MS
00440170 Other MS MEDICAID DME
Copy-ready billing details
Provider: Magic Mart Pharmacy,Inc
NPI: 1194804591
Taxonomy: 333600000X (Pharmacy)
Address: 903 HIGHWAY 82 E BLDG G, Indianola, MS, 38751

Providers at this address

NPI Name Type Specialty Location
1922187327 Guy Phillips Individual Pharmacist Indianola, MS
1841764636 Robyn Soignier Individual Pharmacist Indianola, MS
1356196273 Magic Mart Pharmacy,Inc Organization Long Term Care Pharmacy Indianola, MS
1164268686 Magic Mart Pharmacy, Inc Organization Mail Order Pharmacy Indianola, MS

Verify this record

Cross-check NPI 1194804591 against the authoritative CMS record: view Magic Mart Pharmacy,Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Magic Mart Pharmacy,Inc?
NPPES lists Guy Malone (President) as the authorized official for this organization.
What is the NPI number for Magic Mart Pharmacy,Inc?
The NPI for Magic Mart Pharmacy,Inc is 1194804591, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-12-19.