Active NPI
People'S Drug Store Inc
- Pharmacist
- Vicksburg, MS
National Provider Identifier
1447355607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00285/01.1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00033618 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Port Gibson, MS
- NPI 1851476808
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.