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Aps Pharmacy 801 LLC

Aps Pharmacy 801 LLC is a healthcare organization registered as Long Term Care Pharmacy in Southaven, MS, holding Type 2 (organization) NPI 1336192939 since 2006. The authorized official on file is Mark Bradford, President.

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NPI 1336192939
Entity type Organization (Type 2)
Legal business name Aps Pharmacy 801 LLC
Other name <Unavail>
Practice address 480 AIRPORT INDUSTRIAL DR, Southaven, MS, 38671
Phone 6625360384
Fax 6625364207
Enumeration date 2006-05-18
Last updated in NPPES 2014-07-11

Authorized official

Name Mark Bradford
Title President
Phone 6625360384

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336S0011X Specialty Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Secondary
3336L0003X Long Term Care Pharmacy Primary 0595626 MS

Other identifiers

Identifier Type State Issuer
05908836 Medicaid MS
2120958 Other PK
Copy-ready billing details
Provider: Aps Pharmacy 801 LLC
NPI: 1336192939
Taxonomy: 3336L0003X (Long Term Care Pharmacy)
Address: 480 AIRPORT INDUSTRIAL DR, Southaven, MS, 38671

Verify this record

Cross-check NPI 1336192939 against the authoritative CMS record: view Aps Pharmacy 801 LLC 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 Aps Pharmacy 801 LLC?
NPPES lists Mark Bradford (President) as the authorized official for this organization.
What is the NPI number for Aps Pharmacy 801 LLC?
The NPI for Aps Pharmacy 801 LLC is 1336192939, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-11.