Organization Active NPI

Byrons Drug Store Inc

  • Community/Retail Pharmacy
  • Natchez, MS
National Provider Identifier
1407859986
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02134/1.1 Issued in MS
Legal business name
BYRONS DRUG STORE INC
Practice address
196 SGT S Prentiss Dr
Unit B
Natchez, MS 39120-4737
Phone
(601) 442-8623
Fax
(601) 445-0104
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Ronald Carnette, RPH
Title
Pharmacist and Owner
Phone
(601) 442-8623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 02134/1.1 MS Primary

Addresses

Primary practice location

196 SGT S Prentiss Dr
Unit B
Natchez, MS 39120-4737

Mailing address

196 SGT S Prentiss Dr
Unit B
Natchez, MS 39120-4737
Phone (601) 442-8623

Other identifiers 2

IdentifierTypeStateIssuer
00330699MedicaidMS
2050471OtherPK

Other names 1

  • BYRONS DISCOUNT DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

196 Sgt Prentiss Dr
Unit B
Natchez, MS 39120
Phone (601) 442-8623

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1407859986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SGT S PRENTISS DR",
            "address_2": "UNIT B",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204737",
            "telephone_number": "601-442-8623",
            "fax_number": "601-445-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SGT S PRENTISS DR",
            "address_2": "UNIT B",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204737",
            "telephone_number": "601-442-8623",
            "fax_number": "601-445-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRONS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "CARNETTE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "601-442-8623",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "02134/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330699",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BYRONS DISCOUNT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.