NPIMap

Organization Active NPI

Madison Discount Drugs, Inc.

  • Pharmacist
  • Madison, MS
National Provider Identifier
1275628851
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
002244 Issued in MS
Legal business name
MADISON DISCOUNT DRUGS, INC.
Practice address
980-A Highway 51
Madison, MS 39110
Phone
(601) 856-7111
Fax
(601) 856-1735
NPI assigned
Oct 3, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dennis R Reves
Title
President
Phone
(601) 856-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 002244 MS Primary

Addresses

Primary practice location

980-A Highway 51
Madison, MS 39110

Mailing address

PO Box 1606
Madison, MS 39130
Phone (601) 856-7111

Other identifiers 2

IdentifierTypeStateIssuer
00030159MedicaidMS
2516891OtherMSNABP

National Provider Directory

National Provider Directory

Locations

980A Highway 51
Madison, MS 39110
Phone (601) 856-7111

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1275628851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1606",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39130",
            "telephone_number": "601-856-7111",
            "fax_number": "601-856-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980-A HIGHWAY 51",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-856-7111",
            "fax_number": "601-856-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DISCOUNT DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "REVES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-856-7111"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "002244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030159",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2516891",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.