Peyten, LTD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

E7245 Issued in MS

Legal business name

PEYTEN, LTD.

Doing business as

Guy's Drug Store

Practice address

265 W Peace St
Canton, MS 39046-4325

Phone

(601) 859-1303

Fax

(601) 850-3603

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Julia C Tennin, PHARM D

Title

Owner/Pharmacist

Phone

(601) 859-1303

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Guy's Drug Store Doing business as

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427044593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464325",
            "telephone_number": "601-859-1303",
            "fax_number": "601-850-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464325",
            "telephone_number": "601-859-1303",
            "fax_number": "601-850-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEYTEN, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENNIN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "601-859-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E7245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030123",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040329",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guy's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Denessa V Potts, DMD
• Wesley F Prater, M.D.

• Pharmacist in Canton, MS
• Providers in Canton, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.