Organization Active NPI

Community Discount Pharmacy Inc

Doing business as Community Discount Pharmacy

  • Community/Retail Pharmacy
  • Senatobia, MS
National Provider Identifier
1487159299
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01282 Issued in MS
Legal business name
COMMUNITY DISCOUNT PHARMACY INC
Doing business as
Community Discount Pharmacy
Practice address
100 N Front St
Senatobia, MS 38668-2136
Phone
(662) 562-5268
Fax
(662) 562-6136
NPI assigned
Mar 26, 2018
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Mollie Kidder Spencer, PHARMD
Title
Owner
Phone
(662) 562-5268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 01282 MS Primary

Addresses

Primary practice location

100 N Front St
Senatobia, MS 38668-2136

Mailing address

305 Norfleet Dr
Senatobia, MS 38668-2205
Phone (662) 562-5268

Other identifiers 2

IdentifierTypeStateIssuer
00095117MedicaidMS
2175855OtherPK

Other names 1

  • Community Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

100 N Front St
Senatobia, MS 38668
Phone (662) 562-5268

Practitioners & affiliated clinicians

Practitioners 2

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": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1487159299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NORFLEET DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682205",
            "telephone_number": "662-562-5268",
            "fax_number": "662-562-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N FRONT ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682136",
            "telephone_number": "662-562-5268",
            "fax_number": "662-562-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "KIDDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-562-5268",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "01282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00095117",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175855",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.