Thirteenth Avenue Pharmacy
Thirteenth Avenue Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Laurel, MS, holding Type 2 (organization) NPI 1255474102 since 2007. The authorized official on file is Kyle Mauldin, Pharmacist Owener.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255474102 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Thirteenth Avenue Pharmacy |
| Practice address | 216 S 13TH AVE, Laurel, MS, 39440 |
| Phone | 6014287257 |
| Fax | 6014280074 |
| Enumeration date | 2007-02-14 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Kyle Mauldin |
|---|---|
| Title | Pharmacist Owener |
| Phone | 6014287257 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 01527 01.1 | MS |
Copy-ready billing details
Provider: Thirteenth Avenue Pharmacy NPI: 1255474102 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 216 S 13TH AVE, Laurel, MS, 39440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396888913 | Kyle Mauldin | Individual | Pharmacist | Laurel, MS |
| 1689898579 | Thirteenth Avenue Pharmacy | Organization | Community/Retail Pharmacy | Laurel, MS |
Verify this record
Cross-check NPI 1255474102 against the authoritative CMS record: view Thirteenth Avenue Pharmacy 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
What is the NPI number for Thirteenth Avenue Pharmacy?
Who is the authorized official for Thirteenth Avenue Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.