Active NPI
Smith Drug & Home Medical, Inc.
- Community/Retail Pharmacy
- Booneville, MS
National Provider Identifier
1255433975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 00189/01.1
- Legal business name
- SMITH DRUG & HOME MEDICAL, INC.
- Practice address
- 100 S Second St
Booneville, MS 38829-3225 - Phone
- (662) 728-5322
- Fax
- (662) 728-3187
- NPI assigned
- Sep 2, 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
- Dr. Jason B White, PHARM. D.
- Title
- President
- Phone
- (662) 728-5322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 00189/01.1 | MS | Primary |
Addresses
Primary practice location
100 S Second St
Booneville, MS 38829-3225
Mailing address
100 S Second St
Booneville, MS 38829-3225
Phone (662) 728-5322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00034231 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469750400000",
"number": "1255433975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S SECOND ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388293225",
"telephone_number": "662-728-5322",
"fax_number": "662-728-3187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S SECOND ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388293225",
"telephone_number": "662-728-5322",
"fax_number": "662-728-3187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH DRUG & HOME MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"last_updated": "2016-07-29",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-728-5322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "00189/01.1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00034231",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.