1770582009 NPI number — SUPER D DRUGS ACQUISTION CO.

Table of content: (NPI 1770582009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770582009 NPI number — SUPER D DRUGS ACQUISTION CO.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUPER D DRUGS ACQUISTION CO.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
JIM BAIN'S PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770582009
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
367 N GLOSTER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUPELO
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38804-3633
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-844-4530
Provider Business Mailing Address Fax Number:
662-844-9927

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
367 N GLOSTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUPELO
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38804-3633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-844-4530
Provider Business Practice Location Address Fax Number:
662-844-9927
Provider Enumeration Date:
07/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
STROUD
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
VP PHARMACY SERVICES
Authorized Official Telephone Number:
501-296-3311

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  04930/11.1 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00440682 . This is a "MEDICAID DME" identifier , issued by the state of ( MS ) . This identifiers is of the category "OTHER".
  • Identifier: 00M4996 . This is a "EDI DME" identifier , issued by the state of ( MS ) . This identifiers is of the category "OTHER".




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