Anderson Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0225601.1 Issued in MS

Legal business name

ANDERSON DRUGS INC

Practice address

5796 US Hwy 11
Purvis, MS 39475

Phone

(601) 794-5525

Fax

(601) 794-2741

NPI assigned

Feb 15, 2007

Last updated

Aug 22, 2020By 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

Mrs. Lori Ann Anderson

Title

Secretary

Phone

(601) 794-5525

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Lavern Anderson

  • Pharmacist
  • Purvis, MS
  • NPI 1033786389
  NPD
• Todd Antjaun Lee, BS PHARMACY RPH DPH

  • Pharmacist
  • Lumberton, MS
  • NPI 1942090709
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447393418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394750407",
            "telephone_number": "601-794-5525",
            "fax_number": "601-794-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5796 US HWY 11",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "39475",
            "telephone_number": "601-794-5525",
            "fax_number": "601-794-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "601-794-5525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "0225601.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030351",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Robert Acord Jr., DC
• Mason Ross Anderson
• Stephen Lavern Anderson
• Jeremiah Mikel Andrews, LPC
• Misty Jones Barrett
• Jody Carl Bennett, P.T.

• Community/Retail Pharmacy in Purvis, MS
• Providers in Purvis, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.