Organization Active NPI

Brent Smith Drugs Inc

Doing business as Chaney's Pharmacy

  • Community/Retail Pharmacy
  • Oxford, MS
National Provider Identifier
1063568830
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00281 01 1 Issued in MS
Legal business name
BRENT SMITH DRUGS INC
Doing business as
Chaney's Pharmacy
Practice address
501 Bramlett Blvd
Oxford, MS 38655-4129
Phone
(662) 234-7221
Fax
(662) 234-7286
NPI assigned
Jan 26, 2007
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Mr. Robert Brent Smith, RPHNPI 1740883388
Title
President
Phone
(662) 234-7221

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 00281 01 1 MS Primary

Addresses

Primary practice location

501 Bramlett Blvd
Oxford, MS 38655-4129

Mailing address

501 Bramlett Blvd
Oxford, MS 38655-4129
Phone (662) 234-7221

Other identifiers 1

IdentifierTypeStateIssuer
0090280MedicaidMS

Other names 1

  • Chaney's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930037405 MS DME Supplier - Pharmacy 8224156534 Practice locations: Oxford, MS
O20101214001028 MS Part B Supplier - Mass Immunization (Roster Biller Only) 8224156534 Practice locations: Oxford, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brent Smith Drugs Inc501 Bramlett Blvd, Oxford, MS 38655-4129(662) 234-7221 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

501 Bramlett Blvd
Oxford, MS 38655
Phone (662) 234-7221

Practitioners & affiliated clinicians

Practitioners 5

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1063568830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BRAMLETT BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554129",
            "telephone_number": "662-234-7221",
            "fax_number": "662-234-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BRAMLETT BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554129",
            "telephone_number": "662-234-7221",
            "fax_number": "662-234-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT SMITH DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-234-7221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00281 01 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090280",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaney's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.