# BURNHAM-MCKINNEY PHARMACIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BURNHAM-MCKINNEY PHARMACIES INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700965845
- **Authorized official:** JOHN MCKINNEY RPH (OWNER AND PRESIDENT)
- **Authorized official phone:** (228) 475-3411

## Contact information

- **Practice address:** 5001 MAIN ST, MOSS POINT, MS 39563-2738
- **Practice address phone:** (228) 475-3411
- **Practice address fax:** (228) 471-1400
- **Mailing address:** PO BOX 8647, MOSS POINT, MS 39562-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 00774/01.1 | MS | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 00774/01.1 | MS | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 00774/01.1 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | 007741011 | MS | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | 00774/01.1 | MS | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | 077440/01.1 | MS | — |
| 3336S0011X | Specialty Pharmacy | 00774/01.1 | MS | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 07/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0030097 | — | MS |
| 05 | — | 100340002 | — | AL |
| 01 | — | 2510255 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |