Ftfrx LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00680/1.1 Issued in MS

Legal business name

FTFRX LLC

Practice address

1005 Market St
Port Gibson, MS 39150-2337

Phone

(601) 437-5121

Fax

(601) 437-5102

NPI assigned

Aug 22, 2016

Last updated

Aug 22, 2016By 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

Cathy Hopkins

Title

Manager

Phone

(601) 437-5121

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1477008209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MARKET ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502337",
            "telephone_number": "601-437-5121",
            "fax_number": "601-437-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MARKET ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502337",
            "telephone_number": "601-437-5121",
            "fax_number": "601-437-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FTFRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-437-5121"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00680/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330665",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Port Gibson, MS
• Providers in Port Gibson, 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, 2016; 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.