Organization Active NPI

Downhome Pharmacy, Inc.

  • Pharmacy
  • Monticello, MS
National Provider Identifier
1013558824
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DOWNHOME PHARMACY, INC.
Practice address
606 W. Broad St
Monticello, MS 39654
Phone
(601) 756-2001
Fax
(833) 481-3377
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
James E Crane, RPH
Title
Pharmacist
Phone
(601) 756-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

606 W. Broad St
Monticello, MS 39654

Mailing address

606 West Broad St
PO Box 877
Monticello, MS 39654-0877
Phone (601) 695-0210

National Provider Directory

National Provider Directory

Locations

606 W Broad St
Monticello, MS 39654
Phone (601) 756-2001

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1013558824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 WEST BROAD ST",
            "address_2": "PO BOX 877",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396540877",
            "telephone_number": "601-695-0210",
            "fax_number": "601-833-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W. BROAD ST",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "39654",
            "telephone_number": "601-756-2001",
            "fax_number": "833-481-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNHOME PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-756-2001",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.