Active NPI
Logans Discount Drugs Inc
- Durable Medical Equipment & Medical Supplies
- Bruce, MS
National Provider Identifier
1285702159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440635 | Other | MEDICAID DME # | |
| 0330263 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Logans Discount Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Bruce, MS
- NPI 1063500882
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.