Anderson's Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

01580/1.1 Issued in MS

Legal business name

ANDERSON'S PHARMACY, LLC

Doing business as

Anderson's Pharmacy

Practice address

112 E Main St
N Carrollton, MS 38947-2000

Phone

(662) 237-9294

Fax

(662) 237-9292

NPI assigned

Jul 30, 2006

Last updated

Nov 19, 2018By 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

Mrs. Lisa Stuart Smith

Title

Owner/Pic

Phone

(662) 237-6615

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Anderson's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1164437703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E MAIN ST",
            "city": "N CARROLLTON",
            "state": "MS",
            "postal_code": "389472000",
            "telephone_number": "662-237-9294",
            "fax_number": "662-237-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E MAIN ST",
            "city": "N CARROLLTON",
            "state": "MS",
            "postal_code": "389472000",
            "telephone_number": "662-237-9294",
            "fax_number": "662-237-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "662-237-6615",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "01580/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00033243",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anderson's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carroll County School District

• Community/Retail Pharmacy in N Carrollton, MS
• Providers in N Carrollton, 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 Nov 19, 2018; 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.