Active NPI
T and B Enterprises
- Community/Retail Pharmacy
- Baldwyn, MS
National Provider Identifier
1124112420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 00889
- Legal business name
- T AND B ENTERPRISES
- Practice address
- 735 S Fourth St
Baldwyn, MS 38824-2612 - Phone
- (662) 365-5036
- Fax
- (662) 365-8083
- NPI assigned
- Oct 3, 2006
- 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. Harry M Old, RPH
- Title
- President/ Managing Pharmacist
- Phone
- (662) 365-5036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 00889 | MS | Primary |
Addresses
Primary practice location
735 S Fourth St
Baldwyn, MS 38824-2612
Mailing address
735 S Fourth St
Baldwyn, MS 38824-2612
Phone (662) 365-5036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00039993 | Medicaid | MS |
Other names 1
- MEDICAL ARTS PHARMACY
National Provider Directory
National Provider DirectoryLocations
735 S Fourth St
Baldwyn, MS 38824
Phone (662) 365-5036
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Baldwyn, MS
- NPI 1679428189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1124112420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 S FOURTH ST",
"city": "BALDWYN",
"state": "MS",
"postal_code": "388242612",
"telephone_number": "662-365-5036",
"fax_number": "662-365-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S FOURTH ST",
"city": "BALDWYN",
"state": "MS",
"postal_code": "388242612",
"telephone_number": "662-365-5036",
"fax_number": "662-365-8083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T AND B ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "OLD",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/ MANAGING PHARMACIST",
"authorized_official_telephone_number": "662-365-5036",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "00889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00039993",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAL ARTS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baldwyn, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.