NPIMap

Organization Active NPI

Family Drug Mart of Poplarville,LLC

Doing business as Family Drug Mart of Poplarville

  • Pharmacy
  • Poplarville, MS
National Provider Identifier
1306325402
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
17206 Issued in MS
Legal business name
FAMILY DRUG MART OF POPLARVILLE,LLC
Doing business as
Family Drug Mart of Poplarville
Practice address
100 Highway 11 N
Poplarville, MS 39470-2217
Phone
(504) 338-7992
Fax
(985) 727-7494
NPI assigned
Aug 9, 2018
Last updated
Dec 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Authorized official

Name
Mr. Jose Miguel Yanez, RPH
Title
Owner/Pharmacist
Phone
(504) 338-7992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 17206 MS Primary

Addresses

Primary practice location

100 Highway 11 N
Poplarville, MS 39470-2217

Mailing address

2299 Sunset Blvd
Slidell, LA 70461-5605
Phone (504) 338-7992

Other names 1

  • FAMILY DRUG MART OF POPLARVILLE Doing business as

National Provider Directory

National Provider Directory

Locations

100 Highway 11 N
Poplarville, MS 39470
Phone (504) 338-7992

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1306325402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 SUNSET BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615605",
            "telephone_number": "504-338-7992",
            "fax_number": "985-727-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 11 N",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394702217",
            "telephone_number": "504-338-7992",
            "fax_number": "985-727-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DRUG MART OF POPLARVILLE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "YANEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "504-338-7992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "17206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY DRUG MART OF POPLARVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY DRUG MART OF POPLARVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplarville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; 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.