NPIMap

Organization Active NPI

Polks Crossgates Discount Drugs Inc

  • Durable Medical Equipment & Medical Supplies
  • Port Gibson, MS
National Provider Identifier
1053754267
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
POLKS CROSSGATES DISCOUNT DRUGS INC
Practice address
310 Church St
Port Gibson, MS 39150-2108
Phone
(601) 992-4450
NPI assigned
Apr 8, 2013
Organization subpart
Yes
Parent organization
POLKS CROSSGATES DISCOUNT DRUGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Kimberly Dear
Title
Manager
Phone
(601) 992-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MS Primary

Addresses

Primary practice location

310 Church St
Port Gibson, MS 39150-2108

Mailing address

310 Church St
Port Gibson, MS 39150-2108
Phone (601) 992-4450

Other names 1

  • polks specialty homecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Polks Discount Drugs 210 organizations share this tax ID, including this one
Part of
Polks Discount Drugs 2

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1053754267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHURCH ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502108",
            "telephone_number": "601-992-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHURCH ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502108",
            "telephone_number": "601-992-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLKS CROSSGATES DISCOUNT DRUGS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POLKS CROSSGATES DISCOUNT DRUGS INC",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "DEAR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-992-4450"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "polks specialty homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Gibson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.