Organization Active NPI

Cox-Blythe Healthcare Group Corp

Doing business as Cox-Blythe Drug Company

  • Community/Retail Pharmacy
  • Booneville, MS
National Provider Identifier
1376193193
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191213001507 MS Part B Supplier - Pharmacy 5092148536 Practice locations: Booneville, MS

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.