NPIMap

Organization Active NPI

Ashland Drugs Inc

  • Community/Retail Pharmacy
  • Ashland, MS
National Provider Identifier
1235205154
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01530 Issued in MS
Legal business name
ASHLAND DRUGS INC
Practice address
15917 Boundary Drive
Ashland, MS 38603
Phone
(662) 224-8922
Fax
(662) 224-9111
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Mr. Larry H Melton, RPHNPI 1386720431
Title
Owner Pharmacist
Phone
(662) 224-8922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 01530 MS Primary

Addresses

Primary practice location

15917 Boundary Drive
Ashland, MS 38603

Mailing address

PO Box 126
Ashland, MS 38603
Phone (662) 224-8922

Other identifiers 2

IdentifierTypeStateIssuer
00030186MedicaidMS
00045127MedicaidMS

Other names 1

  • Ashland Discount Drug Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1235205154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "38603",
            "telephone_number": "662-224-8922",
            "fax_number": "662-224-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15917 BOUNDARY DRIVE",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "38603",
            "telephone_number": "662-224-8922",
            "fax_number": "662-224-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "662-224-8922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "01530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030186",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00045127",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Discount Drug",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ashland Discount Drug",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ashland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.