Organization 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
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00440865 Issued in MS
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00440865MedicaidMS
00330641MedicaidMS

Other names 1

  • Medical Arts Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.