Organization Active NPI

Mosbys Drug Store

Doing business as Mosby's Drug Store LTC

  • Pharmacist
  • Canton, MS
National Provider Identifier
1003436569
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
MOSBYS DRUG STORE
Doing business as
Mosby's Drug Store LTC
Practice address
1301 E Peace St
Canton, MS 39046-4937
Phone
(601) 859-4212
Fax
(601) 859-4260
NPI assigned
Apr 24, 2020
Last updated
Jul 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael C Murphy, BS
Title
Owner/Member
Phone
(601) 859-3939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1301 E Peace St
Canton, MS 39046-4937

Mailing address

195 E Peace St
Canton, MS 39046-4519
Phone (601) 859-4212

Other identifiers 1

IdentifierTypeStateIssuer
ADDRESSOtherMSADDRESS

Other names 1

  • Mosby's Drug Store LTC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Canton Direct

National Provider Directory

National Provider Directory
Tax ID family
Mosby's Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1003436569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464519",
            "telephone_number": "601-859-4212",
            "fax_number": "601-859-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464937",
            "telephone_number": "601-859-4212",
            "fax_number": "601-859-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSBYS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "601-859-3939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDRESS",
            "identifier": "ADDRESS",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Canton",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct email",
            "address_1": "1301 E Peace St",
            "city": "Canton",
            "state": "MS",
            "country_code": "US",
            "postal_code": "390464937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mosby's Drug Store LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mosby's Drug Store LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.