Organization Active NPI

People'S Drug Store Inc

  • Pharmacist
  • Vicksburg, MS
National Provider Identifier
1447355607
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00285/01.1 Issued in MS
Legal business name
PEOPLE'S DRUG STORE INC
Practice address
1521 Washington St
Vicksburg, MS 39180-3539
Phone
(601) 636-5214
Fax
(601) 636-5272
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mr. John F Bove, RPH
Title
Owner
Phone
(601) 636-5214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 00285/01.1 MS Primary

Addresses

Primary practice location

1521 Washington St
Vicksburg, MS 39180-3539

Mailing address

1521 Washington St
Vicksburg, MS 39180-3539
Phone (601) 636-5214

Other identifiers 1

IdentifierTypeStateIssuer
00033618MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1447355607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 WASHINGTON ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803539",
            "telephone_number": "601-636-5214",
            "fax_number": "601-636-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 WASHINGTON ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803539",
            "telephone_number": "601-636-5214",
            "fax_number": "601-636-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE'S DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BOVE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-636-5214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "00285/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00033618",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.