NPIMap

Organization Active NPI

Field Memorial Community Hospital

Doing business as FHS Express Pharmacy

  • Community/Retail Pharmacy
  • Woodville, MS
National Provider Identifier
1053988816
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FIELD MEMORIAL COMMUNITY HOSPITAL
Doing business as
FHS Express Pharmacy
Practice address
616 Main St
Woodville, MS 39669-9706
Phone
(601) 888-3333
Fax
(601) 888-6336
NPI assigned
Jun 9, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Jeremy C Netterville
Title
Ceo
Phone
(601) 890-0545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

616 Main St
Woodville, MS 39669-9706

Mailing address

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 890-0546

Other names 1

  • FHS Express Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Field Mem Co Hosp Crna8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

616 Main St
Woodville, MS 39669
Phone (601) 888-3333

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1053988816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-890-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MAIN ST",
            "city": "WOODVILLE",
            "state": "MS",
            "postal_code": "396699706",
            "telephone_number": "601-888-3333",
            "fax_number": "601-888-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELD MEMORIAL COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "NETTERVILLE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-890-0545"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHS Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.