Smith Drugs of Booneville LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SMITH DRUGS OF BOONEVILLE LLC

Practice address

100 S Second St
Booneville, MS 38829-3225

Phone

(662) 728-5322

Fax

(662) 728-3187

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Michael C Murphy

Title

Owner / Member

Phone

(601) 859-3939

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Smith Drugs & Home Medical Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572739200000",
    "number": "1366083057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464519",
            "telephone_number": "601-859-3939",
            "fax_number": "601-855-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SECOND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293225",
            "telephone_number": "662-728-5322",
            "fax_number": "662-728-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH DRUGS OF BOONEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-11-03",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "601-859-3939"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smithdrugsofbooneville@aol.om",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "michael@msdiscountdrugs.com",
            "address_1": "100 S Second St",
            "city": "Booneville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388293225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Smith Drugs & Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smith Drugs & Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Lowrey Skinner, PHARMD
• Kristina Michelle Sloan, CMHT
• Smith Drug & Home Medical, Inc.
• Smith Drug & Home Medical, Inc.
• Smith Drug & Home Medical, Inc.
• Amira Rezk Smith, PHARM D
• Mary E. Smith, CMHT, LPC
• Shawna Smith, R.N.
• Solstice Home Care LLC
• Lauren Hall Sparks, CFNP

• Community/Retail Pharmacy in Booneville, MS
• Providers in Booneville, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.