Organization Active NPI

Smith Drug & Home Medical, Inc.

  • Community/Retail Pharmacy
  • Booneville, MS
National Provider Identifier
1255433975
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00189/01.1 Issued in MS
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

Updated by the provider on Jul 29, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00034231MedicaidMS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.