State Line Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

STATE LINE DRUGS

Practice address

194 Main St
State Line, MS 39362-9600

Phone

(601) 848-7866

NPI assigned

Apr 15, 2025

Organization subpart

No

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

Authorized official

Name

James Charles Snyder, R,PH

Title

Owner

Phone

(601) 394-8264

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Darrell Bradley, RPH

  • Pharmacist
  • State Line, MS
  • NPI 1649317769
  NPD (past)

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1497541775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "STATE LINE",
            "state": "MS",
            "postal_code": "393620159",
            "telephone_number": "601-848-7866",
            "fax_number": "601-848-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 MAIN ST",
            "city": "STATE LINE",
            "state": "MS",
            "postal_code": "393629600",
            "telephone_number": "601-848-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE LINE DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-394-8264",
        "authorized_official_credential": "R,PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Trips LLC
• Greene Area Medical Extenders, Inc
• Jana Michelle Miller, FNP-C
• On Time Transportation Inc
• Pamela J Packer, CMHT
• State Line RX LLC

• Community/Retail Pharmacy in State Line, MS
• Providers in State Line, 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 Apr 15, 2025; 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.