NPIMap

Organization Active NPI

Home Oxygen and Medical Equipment Inc

Doing business as Home Care Pharmacy

  • Long Term Care Pharmacy
  • Clinton, MS
National Provider Identifier
1053474684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
02164026 Issued in MS
Legal business name
HOME OXYGEN AND MEDICAL EQUIPMENT INC
Doing business as
Home Care Pharmacy
Practice address
708 E Northside Dr
Clinton, MS 39056-3438
Phone
(601) 925-8005
Fax
(601) 924-9127
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wesley Miley, RPH
Title
Corp Pres
Phone
(601) 924-8935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 02164026 MS Primary

Addresses

Primary practice location

708 E Northside Dr
Clinton, MS 39056-3438

Mailing address

708 E Northside Dr
Clinton, MS 39056-3438

Other identifiers 2

IdentifierTypeStateIssuer
0330486MedicaidMS
2521246OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • HOME CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Care Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

708 E Northside Dr
Clinton, MS 39056
Phone (601) 925-8005

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053474684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E NORTHSIDE DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E NORTHSIDE DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563438",
            "telephone_number": "601-925-8005",
            "fax_number": "601-924-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OXYGEN AND MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILEY",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CORP PRES",
        "authorized_official_telephone_number": "601-924-8935",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "02164026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330486",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2521246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.