Organization Active NPI

Condons East Union Pharmacy Inc

Doing business as Condon East Union Pharmacy

  • Community/Retail Pharmacy
  • Greenville, MS
National Provider Identifier
1043303480
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00457 Issued in MS
Legal business name
CONDONS EAST UNION PHARMACY INC
Doing business as
Condon East Union Pharmacy
Practice address
1403 E Union St
Greenville, MS 38703-3247
Phone
(662) 332-0941
Fax
(662) 378-8371
NPI assigned
Sep 30, 2006
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Howard Christian, RPH
Title
RPH
Phone
(662) 332-0941

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 00457 MS Primary

Addresses

Primary practice location

1403 E Union St
Greenville, MS 38703-3247

Mailing address

1403 E Union St
Greenville, MS 38703-3247
Phone (662) 332-0941

Other identifiers 2

IdentifierTypeStateIssuer
00030142MedicaidMS
2050808OtherPK

Other names 1

  • CONDON EAST UNION PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1403 E Union St
Greenville, MS 38703
Phone (662) 332-0941

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1043303480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033247",
            "telephone_number": "662-332-0941",
            "fax_number": "662-378-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033247",
            "telephone_number": "662-332-0941",
            "fax_number": "662-378-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDONS EAST UNION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "662-332-0941",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030142",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONDON EAST UNION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.