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Thirteenth Avenue Pharmacy

Community/Retail Pharmacy in Laurel, MS · enumerated 2007 · authorized official Kyle Mauldin, Pharmacist Owener.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255474102

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Registry record

Entity type Organization (Type 2)
Legal business name Thirteenth Avenue Pharmacy
Practice address 216 S 13th Ave, Laurel, MS, 39440
Fax (601) 428-0074
Enumeration date Feb 14, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 01527 01.1 (MS) Primary

Authorized official

Name Kyle Mauldin
Title Pharmacist Owener

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.

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Frequently asked questions

What is the NPI number for Thirteenth Avenue Pharmacy?
The NPI for Thirteenth Avenue Pharmacy is 1255474102, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Thirteenth Avenue Pharmacy?
NPPES lists Kyle Mauldin (Pharmacist Owener) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.