Senatobia City Drug

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SENATOBIA CITY DRUG

Practice address

122 Norfleet Dr
Senatobia, MS 38668-2220

Phone

(662) 562-8042

Fax

(662) 562-0644

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By 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. Lynn Barham, PHARMACIST

Title

Pharmacist

Phone

(662) 562-8042

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Senatobia City Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Senatobia City Drug Co Inc

  • Community/Retail Pharmacy
  • Senatobia, MS
  • NPI 1508963430
  NPD tax ID

Practitioners 2

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.

• Darroth Leonard Barham, RPH

  • Pharmacist
  • Senatobia, MS
  • NPI 1215027313
  NPD (past)
• Dawn M Simpson, RPH

  • Pharmacist
  • Senatobia, MS
  • NPI 1255421350
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114051042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 NORFLEET DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682220",
            "telephone_number": "662-562-8042",
            "fax_number": "662-562-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NORFLEET DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682220",
            "telephone_number": "662-562-8042",
            "fax_number": "662-562-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENATOBIA CITY DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARHAM",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "662-562-8042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440236",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roise at Heart Homecare LLC
• Forster Gehring Ruhl Jr., MD
• Sawyer Scott Eyecare Center PLLC
• SCCR,LLC (Senatobia Convalescent Center & Rehab)
• Samuel Sawyer Scott, OD
• Senatobia City Drug Co Inc
• Senatobia Dental Care, P.C.
• Senatobia Dental Studio PLLC
• Senatobia Family Dentistry
• Senatobia Family Practice, P.C.

• Durable Medical Equipment & Medical Supplies in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.