Active NPI
CDS Home Care, Inc
- Specialty Pharmacy
- Crystal Springs, MS
National Provider Identifier
1225004948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- 04960/02.2
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00330598 | Medicaid | MS | |
| 00440693 | Medicaid | MS | |
| 2520395 | Other | MS | NCPDP NUMBER |
Other names 1
- CDS Home Care
National Provider Directory
National Provider DirectoryNPI 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.