Thirteenth Avenue Pharmacy
Thirteenth Avenue Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Laurel, MS, holding Type 2 (organization) NPI 1689898579 since 2007. The authorized official on file is Kyle Mauldin, Owner Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689898579 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Thirteenth Avenue Pharmacy |
| Practice address | 216 S 13TH AVE, Laurel, MS, 39440 |
| Phone | 6014287257 |
| Enumeration date | 2007-04-12 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Kyle Mauldin |
|---|---|
| Title | Owner Pharmacist |
| Phone | 6014287257 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 01527 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00330499 | Medicaid | MS | — |
Copy-ready billing details
Provider: Thirteenth Avenue Pharmacy NPI: 1689898579 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 216 S 13TH AVE, Laurel, MS, 39440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255474102 | Thirteenth Avenue Pharmacy | Organization | Community/Retail Pharmacy | Laurel, MS |
| 1396888913 | Kyle Mauldin | Individual | Pharmacist | Laurel, MS |
Verify this record
Cross-check NPI 1689898579 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
Who is the authorized official for Thirteenth Avenue Pharmacy?
What is the NPI number for Thirteenth Avenue Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.