Organization Active NPI

Johns' Discount Drugs

  • Community/Retail Pharmacy
  • Lumberton, MS
National Provider Identifier
1356477863
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
920IJL Issued in MS
Legal business name
JOHNS' DISCOUNT DRUGS
Practice address
410 W Main Ave
Lumberton, MS 39455-2437
Phone
(601) 796-4761
Fax
(601) 796-4764
NPI assigned
Feb 26, 2007
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Barry Lewis Waits
Title
Pharmacist
Phone
(601) 796-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 920IJL MS Primary

Addresses

Primary practice location

410 W Main Ave
Lumberton, MS 39455-2437

Mailing address

410 W Main Ave
Lumberton, MS 39455-2437
Phone (601) 796-4761

Other identifiers 1

IdentifierTypeStateIssuer
0032581MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Johns' Discount Drugs2 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.

Locations

410 W Main Ave
Lumberton, MS 39455
Phone (601) 796-4761

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1356477863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W MAIN AVE",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "394552437",
            "telephone_number": "601-796-4761",
            "fax_number": "601-796-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W MAIN AVE",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "394552437",
            "telephone_number": "601-796-4761",
            "fax_number": "601-796-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS' DISCOUNT DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "WAITS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-796-4761"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "920IJL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032581",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.