Active NPI
Medical Arts Pharmacy of Columbus, Inc.
Doing business as Medical Arts Pharmacy
- Durable Medical Equipment & Medical Supplies
- Columbus, MS
National Provider Identifier
1073626636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 00440865
- Legal business name
- MEDICAL ARTS PHARMACY OF COLUMBUS, INC.
- Doing business as
- Medical Arts Pharmacy
- Practice address
- 504 Military Rd
Columbus, MS 39701-4681 - Phone
- (662) 328-8660
- Fax
- (662) 328-1213
- NPI assigned
- Aug 17, 2006
- Last updated
- Sep 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Edward Walden
- Title
- Ceo
- Phone
- (662) 328-8660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 00440865 | MS | Primary |
Addresses
Primary practice location
504 Military Rd
Columbus, MS 39701-4681
Mailing address
504 Military Rd
Columbus, MS 39701-4681
Phone (662) 328-8660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440865 | Medicaid | MS | |
| 00330641 | Medicaid | MS |
Other names 1
- Medical Arts Pharmacy
National Provider Directory
National Provider DirectoryLocations
504 Military Rd
Columbus, MS 39701
Phone (662) 328-8660
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Columbus, MS
- NPI 1447559844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254182400000",
"number": "1073626636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 MILITARY RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397014681",
"telephone_number": "662-328-8660",
"fax_number": "662-328-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 MILITARY RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397014681",
"telephone_number": "662-328-8660",
"fax_number": "662-328-1213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS PHARMACY OF COLUMBUS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2009-09-29",
"status": "A",
"authorized_official_last_name": "WALDEN",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "662-328-8660",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "00440865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440865",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00330641",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Arts Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.