Active NPI
Belmont Pharmacy, LLC
- Community/Retail Pharmacy
- Belmont, MS
National Provider Identifier
1073950853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BELMONT PHARMACY, LLC
- Practice address
- 338 2ND St
Belmont, MS 38827-0876 - Phone
- (256) 460-5761
- NPI assigned
- Jun 3, 2013
- Last updated
- Jun 3, 2013
- 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. William Eugene Weatherford, R.PH
- Title
- Owner/Pharmacist
- Phone
- (256) 460-5761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
338 2ND St
Belmont, MS 38827-0876
Mailing address
PO Box 876
338 2ND St
Belmont, MS 38827-0876
Phone (256) 460-5761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230906000014 | MS | Part B Supplier - Pharmacy | 8729441969 | Practice locations: Belmont, MS |
National Provider Directory
National Provider DirectoryLocations
338 2nd St
Belmont, MS 38827
Phone (256) 460-5761
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
- Iuka, MS
- NPI 1215899067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370217600000",
"number": "1073950853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 876",
"address_2": "338 2ND ST",
"city": "BELMONT",
"state": "MS",
"postal_code": "388270876",
"telephone_number": "256-460-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 2ND ST",
"city": "BELMONT",
"state": "MS",
"postal_code": "388270876",
"telephone_number": "256-460-5761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELMONT PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A",
"authorized_official_last_name": "WEATHERFORD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "256-460-5761",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.