Redimeds Pharmacy at Home, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14375/1.1 Issued in MS

Legal business name

REDIMEDS PHARMACY AT HOME, LLC

Doing business as

RediMeds Pharmacy at Home, LLC

Practice address

3466 McCullough Blvd Ste D-1
Belden, MS 38826-9468

Phone

(662) 842-6204

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By 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

Debralee Carroll

Title

Owner/ Pharmacist

Phone

(662) 231-3243

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RediMeds Pharmacy at Home, LLC Doing business as

Locations

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1245611094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 MCCULLOUGH BLVD STE D-1",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269468",
            "telephone_number": "662-842-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 MCCULLOUGH BLVD STE D-1",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269468",
            "telephone_number": "662-842-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIMEDS PHARMACY AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DEBRALEE",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST",
        "authorized_official_telephone_number": "662-231-3243"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "14375/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RediMeds Pharmacy at Home, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Belden, 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 Jun 17, 2015; 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.