Mr Discount Drugs at Rush Medical

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2345012 Issued in MS

Legal business name

MR DISCOUNT DRUGS AT RUSH MEDICAL

Doing business as

Mr Discount Drugs at Rush Medical Group

Practice address

1800 12TH St
Meridian, MS 39301-4158

Phone

(601) 703-9642

Fax

(601) 703-9415

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Don Waldron, RPH

Title

Owner

Phone

(601) 482-8121

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MR DISCOUNT DRUGS AT RUSH MEDICAL GROUP Doing business as

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1477655819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 POPLAR SPRINGS DR STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052678",
            "telephone_number": "601-703-9642",
            "fax_number": "601-703-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014158",
            "telephone_number": "601-703-9642",
            "fax_number": "601-703-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR DISCOUNT DRUGS AT RUSH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-482-8121",
        "authorized_official_credential": "RPH"
    },
    "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": "2345012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045363",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330006",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MR DISCOUNT DRUGS AT RUSH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Meridian, MS
• Providers in Meridian, 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 Mar 13, 2014; 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.