Pattersons Pharmacy Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

01125 Issued in MS

Legal business name

PATTERSONS PHARMACY CO INC

Doing business as

Pattersons Pharmacy

Practice address

1121 Ocean Springs Rd
Ocean Springs, MS 39564-3421

Phone

(228) 875-0158

Fax

(228) 875-2266

NPI assigned

Dec 6, 2006

Last updated

Mar 10, 2010By 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

Burt Patterson, RPH

Title

Pres and Pharm

Phone

(228) 875-0158

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PATTERSONS PHARMACY Doing business as

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1104985100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-0158",
            "fax_number": "228-875-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-0158",
            "fax_number": "228-875-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSONS PHARMACY CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BURT",
        "authorized_official_title_or_position": "PRES AND PHARM",
        "authorized_official_telephone_number": "228-875-0158",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "01125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093556",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2508565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATTERSONS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Virginia Pate, LCSW
• Pritesh S Patel, OD
• Gregory Patino
• Patterson Pharmacy Inc.
• John Patterson, CRNA
• Patton Medical of the Gulf Coast Inc
• Patton Medical of the Gulf Coast, Inc.
• Tonya Lisa Patton
• Marva Payton, SLPD, CCC-SLP
• Ashley Pugeau Pearson, LCSW

• Community/Retail Pharmacy in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.