Active NPI
Byrons Drug Store Inc
- Community/Retail Pharmacy
- Natchez, MS
National Provider Identifier
1407859986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02134/1.1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00330699 | Medicaid | MS | |
| 2050471 | Other | PK |
Other names 1
- BYRONS DISCOUNT DRUGS
National Provider Directory
National Provider DirectoryLocations
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.