Ripley Drug Company, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

01312011 Issued in MS

Legal business name

RIPLEY DRUG COMPANY, INC.

Practice address

1010 City Ave North
Ripley, MS 38663

Phone

(662) 837-7664

Fax

(662) 837-3336

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Craig Bullock, PHARMDNPI 1790620748

Title

Owner/Pharmacist

Phone

(662) 837-7664

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 2

• Ripley Drug Co Former legal business name
• Ripley Drug Company Former legal business name

Tax ID family

Ripley Drug Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ripley Drug Company, Inc.

  • Community/Retail Pharmacy
  • Ripley, MS
  • NPI 1336090679
  NPD tax ID

Locations

Practitioners 1

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

• Kelly Craig Bullock

  • Pharmacist
  • Ripley, MS
  • NPI 1790620748
  NPD Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1457428930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 415",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "38663",
            "telephone_number": "662-837-7664",
            "fax_number": "662-837-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CITY AVE NORTH",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "38663",
            "telephone_number": "662-837-7664",
            "fax_number": "662-837-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPLEY DRUG COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "662-837-7664",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "01312011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00045019",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2044334",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00094846",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIPLEY DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RIPLEY DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ripley Drug Co",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ripley Drug Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Caitlin Ann Renfro
• Amy Richardson
• Jennifer Richardson, FNP-BC
• Kaitlin Danielle Rinehart
• Ripley Drug Company, Inc.
• Ripley Eye Care, LLC
• Nayeli Rivera
• Myles Devin Rodgers, PT
• Tiffany Nicole Rolison, PHARM D
• Mark Owen Roseberry, MA, CCC-SLP

• Community/Retail Pharmacy in Ripley, MS
• Providers in Ripley, 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 Feb 20, 2026; 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.