Organization Active NPI

CDS Home Care, Inc

  • Specialty Pharmacy
  • Crystal Springs, MS
National Provider Identifier
1225004948
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
04960/02.2 Issued in MS
Legal business name
CDS HOME CARE, INC
Practice address
119 Bobo Dr
Crystal Springs, MS 39059
Phone
(601) 892-9988
Fax
(601) 892-9983
NPI assigned
Feb 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Reagan Lindsay Brown, RPH
Title
Pharmacist
Phone
(601) 892-9988

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 04960/02.2 MS
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 04960/02.2 MS
Oxygen Equipment & Supplies (DME) 332BX2000X 04960/02.2 MS
Home Infusion Therapy Pharmacy 3336H0001X 04960/02.2 MS
Long Term Care Pharmacy 3336L0003X 04960/02.2 MS
Specialty Pharmacy 3336S0011X 04960/02.2 MS Primary

Addresses

Primary practice location

119 Bobo Dr
Crystal Springs, MS 39059

Mailing address

119 Bobo Dr
Crystal Springs, MS 39059
Phone (601) 892-9988

Other identifiers 3

IdentifierTypeStateIssuer
00330598MedicaidMS
00440693MedicaidMS
2520395OtherMSNCPDP NUMBER

Other names 1

  • CDS Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225004948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOBO DR",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-892-9988",
            "fax_number": "601-892-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BOBO DR",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-892-9988",
            "fax_number": "601-892-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDS HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-892-9988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "04960/02.2",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "04960/02.2",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "04960/02.2",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "04960/02.2",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "04960/02.2",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MS",
            "license": "04960/02.2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330598",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440693",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2520395",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDS Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.