Organization Active NPI

Rhodes & Robby Drugs Inc

  • Pharmacist
  • Pelahatchie, MS
National Provider Identifier
1275669517
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00253 Issued in MS
Legal business name
RHODES & ROBBY DRUGS INC
Practice address
114 Brooks Street
Pelahatchie, MS 39145-0249
Phone
(601) 854-8252
Fax
(601) 854-6057
NPI assigned
Feb 23, 2007
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Mr. Jack Halsey Rhodes, RPH
Title
Pharmacist
Phone
(601) 854-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00253 MS Primary

Addresses

Primary practice location

114 Brooks Street
Pelahatchie, MS 39145-0249

Mailing address

PO Box 249
114 Brooks Street
Pelahatchie, MS 39145-0249
Phone (601) 854-8252

Other identifiers 2

IdentifierTypeStateIssuer
0033979MedicaidMS
0746910001OtherMSMEDICARE DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930016312 MS DME Supplier - Pharmacy 6406975598 Practice locations: Pelahatchie, MS
O20161205000428 MS Part B Supplier - Mass Immunization (Roster Biller Only) 6406975598 Practice locations: Pelahatchie, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2188451Rhodes and Robby Drugs Inc114 Brooks St, Pelahatchie, MS 39145Certificate of waiverJul 16, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rhodes & Robby Drugs Inc.114 Brooks St, Pelahatchie, MS 39145-3092(601) 854-8252 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Mar 29, 2002

National Provider Directory

National Provider Directory

Locations

114 N Brooks Ave
Pelahatchie, MS 39145
Phone (601) 854-8252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1275669517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "address_2": "114 BROOKS STREET",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391450249",
            "telephone_number": "601-854-8252",
            "fax_number": "601-854-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BROOKS STREET",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391450249",
            "telephone_number": "601-854-8252",
            "fax_number": "601-854-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODES & ROBBY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "HALSEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-854-8252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "00253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033979",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0746910001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelahatchie, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.