Okolona Drug Co

Primary specialty

PharmacistTaxonomy code 183500000X

License

E5837 Issued in MS

Legal business name

OKOLONA DRUG CO

Practice address

210 W Main St
Okolona, MS 38860-1425

Phone

(662) 447-5471

Fax

(662) 447-5637

NPI assigned

Dec 18, 2006

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sidney G Morgan, RPH

Title

Presidentpharmacist

Phone

(662) 447-5471

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1063575371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388601425",
            "telephone_number": "662-447-5471",
            "fax_number": "662-447-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388601425",
            "telephone_number": "662-447-5471",
            "fax_number": "662-447-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKOLONA DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENTPHARMACIST",
        "authorized_official_telephone_number": "662-447-5471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E5837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00092231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denita Kay Lyons
• Molly Marshall
• Mississippi State Department of Health
• North Mississippi Medical Clinics Inc (Okolona Medical Clinic)
• Jimmy O'Brian, PHARMD
• Okolona Drug Co Inc
• Okolona Family Dentistry
• Okolona Municipal Separate School District
• Okolona Pharmacy LLC
• Okolona Pharmacy LLC (Okolona Pharmacy)

• Pharmacist in Okolona, MS
• Providers in Okolona, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.