Boyd'S Drug Store,Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

E3663 Issued in MS

Legal business name

BOYD'S DRUG STORE,INC

Practice address

101 W Jefferson St
Box 662
Kosciusko, MS 39090-3618

Phone

(662) 289-2211

Fax

(662) 289-6973

NPI assigned

Jan 17, 2007

Organization subpart

No

Name

Mr. James Amzie Boyd Jr., BS PHARMACY

Title

President

Phone

(662) 289-2211

Locations

• BOYD'S DRUG STORE,INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437201704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W JEFFERSON ST",
            "address_2": "BOX 662",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903618",
            "telephone_number": "662-289-2211",
            "fax_number": "662-289-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W JEFFERSON ST",
            "address_2": "BOX 662",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903618",
            "telephone_number": "662-289-2211",
            "fax_number": "662-289-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD'S DRUG STORE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "AMZIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-289-2211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E3663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030490",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOYD'S DRUG STORE,INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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.