NPIMap

Organization Active NPI

King's Daughters Medial Center

  • Community/Retail Pharmacy
  • Brookhaven, MS
National Provider Identifier
1285344689
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KING'S DAUGHTERS MEDIAL CENTER
Practice address
427 Highway 51 North
Retail Pharmacy
Brookhaven, MS 39601
Phone
(601) 835-9462
NPI assigned
Nov 28, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
KING'S DAUGHTERS MEDIAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Karen Wallace Freeman, PHARM.D.NPI 1760814370
Title
Director of Pharmacy
Phone
(601) 835-9157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

427 Highway 51 North
Retail Pharmacy
Brookhaven, MS 39601

Mailing address

427 Highway 51 North
Retail Pharmacy
Brookhaven, MS 39601
Phone (601) 835-9462

Other names 1

  • King's Daughters Medical Center - Retail Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Kings Daughters Hosp Su11 organizations share this tax ID, including this one
Part of
Kings Daughters Hosp Su

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1285344689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HIGHWAY 51 NORTH",
            "address_2": "RETAIL PHARMACY",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-835-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HIGHWAY 51 NORTH",
            "address_2": "RETAIL PHARMACY",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-835-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S DAUGHTERS MEDIAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KING'S DAUGHTERS MEDIAL CENTER",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "601-835-9157",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Daughters Medical Center - Retail Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.