Organization · Type 2 NPI

Family Drug Mart of Sumrall, LLC

Community/Retail Pharmacy · Sumrall, MS

NPI number 1124679873 Active

Practice location

4233 Rocky Branch Rd Ste B
Sumrall, MS 39482-4142

Call (769) 307-7050 Map

Fax (769) 307-7020

Mailing address

2299 Sunset Blvd
Slidell, LA 70461-5605

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Other community/retail pharmacy providers in Sumrall

Sumrall Drug Store LLCCommunity/Retail Pharmacy Sumrall, MS NPI 1275613952

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NPI record

NPI: 1124679873
Entity type: Organization (Type 2)
Issued: Sep 24, 2019
Last updated: Jan 29, 2026
Status: Active

Other names

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Family Drug Mart of Sumrall · doing business as
Family Drug Mart of Sumrall · doing business as

Authorized official

Jose Miguel Yanez, RPH
Owner
(504) 338-7992

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124679873

Family Drug Mart of Sumrall, LLC's National Provider Identifier is 1124679873, issued on Sep 24, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Sumrall, MS. The record was last updated on Jan 29, 2026.