Organization Active NPI

Logans Discount Drugs Inc

  • Durable Medical Equipment & Medical Supplies
  • Bruce, MS
National Provider Identifier
1285702159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOGANS DISCOUNT DRUGS INC
Practice address
129 South Newberger
Bruce, MS 38915-0697
Phone
(662) 983-7800
Fax
(662) 983-7806
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Lee Logan Sr., RPH
Title
Pharmacist Owner
Phone
(662) 983-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

129 South Newberger
Bruce, MS 38915-0697

Mailing address

PO Box 697
129 South Newberger
Bruce, MS 38915-0697
Phone (662) 983-7800

Other identifiers 2

IdentifierTypeStateIssuer
00440635OtherMEDICAID DME #
0330263MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Logans Discount Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285702159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "address_2": "129 SOUTH NEWBERGER",
            "city": "BRUCE",
            "state": "MS",
            "postal_code": "389150697",
            "telephone_number": "662-983-7800",
            "fax_number": "662-983-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SOUTH NEWBERGER",
            "city": "BRUCE",
            "state": "MS",
            "postal_code": "389150697",
            "telephone_number": "662-983-7800",
            "fax_number": "662-983-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGANS DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "662-983-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME #",
            "identifier": "00440635",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330263",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bruce, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.