Bane Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00402011 Issued in MS

Legal business name

BANE DRUGS INC

Doing business as

Bane Drugs

Practice address

360 W Monticello St
Brookhaven, MS 39601-3206

Phone

(601) 833-1922

Fax

(601) 833-0245

NPI assigned

Jul 30, 2006

Last updated

Jun 18, 2014By 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

Beverly Case

Title

Pharmacist

Phone

(601) 833-1922

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BANE DRUGS Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1437164076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W MONTICELLO ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013206",
            "telephone_number": "601-833-1922",
            "fax_number": "601-833-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W MONTICELLO ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013206",
            "telephone_number": "601-833-1922",
            "fax_number": "601-833-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-833-1922"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00402011",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050625",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1243876",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030198",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BANE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mac L Baker, DDS
• Bakers Pharmacy Inc
• Thomas Richard Michael Balkcom, LPC
• James Keith Ballard Jr., DMD
• Marty Kyle Ballard Sr., FNP
• Stacy Banes
• Ju'Daijah Banks
• Richard A Barker, PT
• Misty Barlow
• Sheena Renee Barnes, FNP

• Community/Retail Pharmacy in Brookhaven, MS
• Providers in Brookhaven, 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 Jun 18, 2014; 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.