Pharmacy Investment Group, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

00946/1.1 Issued in MS

Legal business name

PHARMACY INVESTMENT GROUP, INC

Doing business as

Mettesave Disc. Drugs

Practice address

330 East Lee St.
Sardis, MS 38666

Phone

(662) 487-1224

Fax

(662) 487-1235

NPI assigned

Dec 8, 2006

Last updated

Apr 4, 2013By 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

Mr. Ernest W. Rucker Jr.

Title

Director

Phone

(662) 487-1224

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Mettesave Disc. Drugs Doing business as

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1467511196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 EAST LEE ST.",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "38666",
            "telephone_number": "662-487-1224",
            "fax_number": "662-487-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 EAST LEE ST.",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "38666",
            "telephone_number": "662-487-1224",
            "fax_number": "662-487-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY INVESTMENT GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-487-1224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "00946/1.1",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030017",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440103",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003-0017",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mettesave Disc. Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Sardis, MS
• Providers in Sardis, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.