Olde Towne Drugs, LTD.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

13280 Issued in MS

Legal business name

OLDE TOWNE DRUGS, LTD.

Doing business as

Olde Towne Drugs

Practice address

1645 W Government CV Ste E
Brandon, MS 39042-4602

Phone

(601) 720-5775

Fax

(601) 825-2356

NPI assigned

Apr 4, 2014

Last updated

Apr 4, 2014By 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

Dr. Anna Claire Heindl, PHARM.D.NPI 1851703565

Title

Owner, President, Pharmacist in Cha

Phone

(601) 720-5775

Specialties & licenses 1

Addresses

Other names 1

• Olde Towne Drugs Doing business as

Locations

Practitioners 2

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.

• Anna Claire Heindl, PHARM.D.

  • Pharmacist
  • Brandon, MS
  • NPI 1851703565
  NPD (past) Authorized official
• Douglas R Welch, PHARMD

  • Pharmacist
  • Brandon, MS
  • NPI 1033832654
  NPD (past)

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1275951402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 TRICKHAMBRIDGE RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390429213",
            "telephone_number": "601-720-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W GOVERNMENT CV STE E",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424602",
            "telephone_number": "601-720-5775",
            "fax_number": "601-825-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TOWNE DRUGS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "HEINDL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, PHARMACIST IN CHA",
        "authorized_official_telephone_number": "601-720-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MS",
            "license": "13280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olde Towne Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Brandon, MS
• Providers in Brandon, MS by specialty
• Compounding Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.