Active NPI
Cox-Blythe Healthcare Group Corp
Doing business as Cox-Blythe Drug Company
- Community/Retail Pharmacy
- Booneville, MS
National Provider Identifier
1376193193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COX-BLYTHE HEALTHCARE GROUP CORP
- Doing business as
- Cox-Blythe Drug Company
- Practice address
- 122 W College St
Booneville, MS 38829-3498 - Phone
- (662) 728-5732
- Fax
- (662) 728-5756
- NPI assigned
- Sep 13, 2019
- Last updated
- Aug 21, 2025
- 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
- Kim Billingsley
- Title
- Pharmacist in Charge/Owner
- Phone
- (662) 728-5732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
122 W College St
Booneville, MS 38829-3498
Mailing address
122 W College St
Booneville, MS 38829-3498
Phone (662) 728-5732
Other names 1
- Cox-Blythe Drug Company
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191213001507 | MS | Part B Supplier - Pharmacy | 5092148536 | Practice locations: Booneville, MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Booneville, MS
- NPI 1740882893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1376193193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W COLLEGE ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388293498",
"telephone_number": "662-728-5732",
"fax_number": "662-728-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W COLLEGE ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388293498",
"telephone_number": "662-728-5732",
"fax_number": "662-728-5756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COX-BLYTHE HEALTHCARE GROUP CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-13",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "BILLINGSLEY",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
"authorized_official_telephone_number": "662-728-5732"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cox-Blythe Drug Company",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cox-Blythe Drug Company",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Booneville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.