RXS Okolona LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07975/01.1 Issued in MS

Legal business name

RXS OKOLONA LLC

Doing business as

Super Sav-On-Drugs

Practice address

203 S Church St
Okolona, MS 38860-1608

Phone

(662) 447-5400

NPI assigned

Nov 24, 2008

Last updated

Feb 3, 2010By 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

Beau Cox

Title

Manager

Phone

(662) 447-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Super Sav-On-Drugs Doing business as

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1376798926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S CHURCH ST",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388601608",
            "telephone_number": "662-447-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CHURCH ST",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388601608",
            "telephone_number": "662-447-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXS OKOLONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-447-5400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "07975/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2587535",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Sav-On-Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Okolona Pharmacy LLC (Okolona Pharmacy)
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• Adam Charles Roye, DMD
• Rural Healthcare Developers, Inc. (Patients' Choice Medical Center of Chickasaw Co.)
• Shearer Richardson Memorial Nursinghome
• William D Simpson, D.M.D.
• Donald Smith, DO
• Southern Health Corp of Houston, Inc. (Family Medical Clinic of Okolona)
• Southern Health Corp. of Houston, Inc. (Family Medical Clinic of Okolona)

• Community/Retail Pharmacy in Okolona, MS
• Providers in Okolona, 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 Feb 3, 2010; 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.