Active NPI
Colonial Discount Drugs
- Pharmacist
- Vicksburg, MS
National Provider Identifier
1467485839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E7063
- Legal business name
- COLONIAL DISCOUNT DRUGS
- Practice address
- 1017 Mission 66
Vicksburg, MS 39183-2753 - Phone
- (601) 638-5521
- Fax
- (601) 638-5522
- NPI assigned
- Jul 9, 2006
- Last updated
- Dec 14, 2010
- 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. J. Richard Thomas, R. PH.
- Title
- Phamacist/Manager
- Phone
- (601) 638-5521
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E7063 | MS | Primary |
Addresses
Primary practice location
1017 Mission 66
Vicksburg, MS 39183-2753
Mailing address
1017 Mission 66
Vicksburg, MS 39183-2753
Phone (601) 638-5521
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2507587 | Other | MS | NABP/NCPDP |
| 00030232 | 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, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Vicksburg, MS
- NPI 1538250378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1467485839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 MISSION 66",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391832753",
"telephone_number": "601-638-5521",
"fax_number": "601-638-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 MISSION 66",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391832753",
"telephone_number": "601-638-5521",
"fax_number": "601-638-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLONIAL DISCOUNT DRUGS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "J.",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PHAMACIST/MANAGER",
"authorized_official_telephone_number": "601-638-5521",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R. PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E7063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP/NCPDP",
"identifier": "2507587",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00030232",
"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 Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.