NPIMap

Organization Active NPI

King and McNulty, LLC

Doing business as Dixon Discount Pharmacy, Gloster Discount Pharmacy

  • Community/Retail Pharmacy
  • Gloster, MS
National Provider Identifier
1417965740
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06673/01.1 Issued in MS
Legal business name
KING AND MCNULTY, LLC
Doing business as
Dixon Discount Pharmacy, Gloster Discount Pharmacy
Practice address
434 B South Captain Gloster Drive
Gloster, MS 39638
Phone
(601) 225-7907
Fax
(601) 225-7906
NPI assigned
Aug 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Joseph S. McNulty III, CRT
Title
President
Phone
(601) 849-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 06673/01.1 MS Primary

Addresses

Primary practice location

434 B South Captain Gloster Drive
Gloster, MS 39638

Mailing address

PO Box 1100
Magee, MS 39111-1100
Phone (601) 849-6440

Other identifiers 2

IdentifierTypeStateIssuer
2586228OtherNCPDP
00639091MedicaidMS

Other names 1

  • Dixon Discount Pharmacy, Gloster Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dixon Discount Pharmacy Gloster Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1417965740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391111100",
            "telephone_number": "601-849-6440",
            "fax_number": "601-849-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 B SOUTH CAPTAIN GLOSTER DRIVE",
            "city": "GLOSTER",
            "state": "MS",
            "postal_code": "39638",
            "telephone_number": "601-225-7907",
            "fax_number": "601-225-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING AND MCNULTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-849-4112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "06673/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2586228",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00639091",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixon Discount Pharmacy, Gloster Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gloster, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.