Organization Active NPI

Tabor Drugs, Inc.

  • Community/Retail Pharmacy
  • Louisville, MS
National Provider Identifier
1467546341
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00572/01.1 Issued in MS
Legal business name
TABOR DRUGS, INC.
Practice address
104 W Main St
Louisville, MS 39339-2620
Phone
(662) 773-5363
Fax
(662) 773-9951
NPI assigned
Oct 3, 2006
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Mary Martha TaborNPI 1497107817
Title
President/Pharmacist
Phone
(662) 773-5363

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 00572/01.1 MS Primary

Addresses

Primary practice location

104 W Main St
Louisville, MS 39339-2620

Mailing address

104 West Main Street
Louisville, MS 39339-2620
Phone (662) 773-5363

National Provider Directory

National Provider Directory

Locations

16575 W Main St
Louisville, MS 39339
Phone (662) 773-5363

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1467546341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WEST MAIN STREET",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392620",
            "telephone_number": "662-773-5363",
            "fax_number": "662-773-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392620",
            "telephone_number": "662-773-5363",
            "fax_number": "662-773-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "662-773-5363"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00572/01.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.