Active NPI
Lab Discount Drugs, Inc.
Doing business as Vital Care of Waynesboro
- Durable Medical Equipment & Medical Supplies
- Waynesboro, MS
National Provider Identifier
1043399272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01624/01.1
- Legal business name
- LAB DISCOUNT DRUGS, INC.
- Doing business as
- Vital Care of Waynesboro
- Practice address
- 923 Wayne St
Waynesboro, MS 39367-2571 - Phone
- (601) 735-4444
- Fax
- (601) 735-5885
- NPI assigned
- Nov 6, 2006
- Last updated
- Jan 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Warren E. Hutto
- Title
- President
- Phone
- (601) 735-4444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01624/01.1 | MS | Primary |
| 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 names 1
- Vital Care of Waynesboro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930011306 | MS | DME Supplier - Pharmacy | 7810016383 | Practice locations: Waynesboro, MS |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Lab Discount Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Waynesboro, MS
- NPI 1881778330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Waynesboro, MS
- NPI 1316536121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358294400000",
"number": "1043399272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5047",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025047",
"telephone_number": "800-447-4095",
"fax_number": "601-482-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 WAYNE ST",
"city": "WAYNESBORO",
"state": "MS",
"postal_code": "393672571",
"telephone_number": "601-735-4444",
"fax_number": "601-735-5885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAB DISCOUNT DRUGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2013-01-16",
"status": "A",
"authorized_official_last_name": "HUTTO",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-735-4444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "01624/01.1",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MS",
"license": "01624/01.1",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MS",
"license": "01624/01.1",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "01624/01.1",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "MS",
"license": "01624/01.1",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MS",
"license": "01624/01.1",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "MS",
"license": "01624/01.1",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MS",
"license": "01624/01.1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Care of Waynesboro",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waynesboro, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.