Lab Discount Drugs, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Waynesboro, MS
NPI 1043399272 · NPPES record last updated Jan 16, 2013
Key facts
- NPI
- 1043399272
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 01624/01.1 (MS)
- Legal business name
- LAB DISCOUNT DRUGS, INC.
- Practice address
- 923 Wayne St
Waynesboro, MS 39367-2571 - Phone
- (601) 735-4444
- Fax
- (601) 735-5885
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Warren E. Hutto
- Title
- President
- Phone
- (601) 735-4444
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 1
-
Warren Edmond Hutto, R. PH.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930011306 | MS | DME Supplier - Pharmacy |
7810016383 | Practice locations: Waynesboro, MS |
National Provider Directory
- Tax ID family
- Lab Discount Drugs Inc
Locations
923 Wayne St
Waynesboro, MS 39367
Phone (601) 735-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01624/01.1 | MS | Yes |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 01624/01.1 | MS | |
| Pharmacy | 333600000X | 01624/01.1 | MS | |
| Community/Retail Pharmacy | 3336C0003X | 01624/01.1 | MS | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 01624/01.1 | MS | |
| Long Term Care Pharmacy | 3336L0003X | 01624/01.1 | MS | |
| Mail Order Pharmacy | 3336M0002X | 01624/01.1 | MS | |
| Specialty Pharmacy | 3336S0011X | 01624/01.1 | MS |
Addresses
Primary practice location
923 Wayne St
Waynesboro, MS 39367-2571
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000030052 | Other | MS | BCBS OF MS |
| 00040343 | Medicaid | MS | |
| 009203290 | Medicaid | AL | |
| 100230047 | Medicaid | AL |
Other names
- Vital Care of Waynesboro
Other providers in Waynesboro, MS
- Terry B Joiner
- Jones County Medical Supplies, Inc
- Ardelisa Jones
- Oscar Randolph Jones
- Anna S Krapivina
- Lab Discount Drugs, Inc.
- Melody Landrum Arnold
- Tomecia Lewis-Payton
- Magnolia Smiles Family Dentistry,PLLC
- James K McCann
All providers in Waynesboro, MS · Durable Medical Equipment & Medical Supplies in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.