Patterson Pharmacy Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATTERSON PHARMACY INC.

Practice address

1121 Ocean Springs Rd
Ocean Springs, MS 39564-3421

Phone

(228) 875-0158

Fax

(228) 875-4546

NPI assigned

Apr 23, 2008

Last updated

Nov 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Burt L. Patterson, RPH

Title

Owner

Phone

(228) 875-0158

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1033384821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-0158",
            "fax_number": "228-875-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-0158",
            "fax_number": "228-875-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BURT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-875-0158",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040124",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paspoint Anesthesia, PLLC
• Adam Patano, CRNA
• Carrie Virginia Pate, LCSW
• Pritesh S Patel, OD
• Gregory Patino
• John Patterson, CRNA
• Pattersons Pharmacy Co Inc (Pattersons Pharmacy)
• Patton Medical of the Gulf Coast Inc
• Patton Medical of the Gulf Coast, Inc.
• Tonya Lisa Patton

• Durable Medical Equipment & Medical Supplies in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.