Redimeds Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

14365/2.3 Issued in MS

Legal business name

REDIMEDS PHARMACY, LLC

Doing business as

RediMeds Pharmacy, LLC

Practice address

3466 McCullough Blvd Ste D-2
Belden, MS 38826-9468

Phone

(662) 350-3119

Fax

(662) 260-4047

NPI assigned

Jun 17, 2015

Last updated

Mar 1, 2023By 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

Debralee Carroll

Title

Pic

Phone

(662) 350-3119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RediMeds Pharmacy, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1336520188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 MCCULLOUGH BLVD STE D-2",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269468",
            "telephone_number": "662-350-3119",
            "fax_number": "662-260-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 MCCULLOUGH BLVD STE D-2",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269468",
            "telephone_number": "662-350-3119",
            "fax_number": "662-260-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIMEDS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DEBRALEE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "662-350-3119"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "14365/2.3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RediMeds Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RediMeds Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Belden, MS
• Providers in Belden, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.