Organization Active NPI

T and B Enterprises

  • Community/Retail Pharmacy
  • Baldwyn, MS
National Provider Identifier
1124112420
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00889 Issued in MS
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

Updated by the provider on Feb 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00039993MedicaidMS

Other names 1

  • MEDICAL ARTS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.