Organization Active NPI

Smith Drug & Home Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Booneville, MS
National Provider Identifier
1497897714
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0018901.1 Issued in MS
Legal business name
SMITH DRUG & HOME MEDICAL, INC.
Practice address
100 S Second St
Booneville, MS 38829-3225
Phone
(662) 728-5322
Fax
(662) 728-3187
NPI assigned
Feb 13, 2007
Last updated
Aug 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Dr. Jason White, PHARM. D.
Title
Pharmacist
Phone
(662) 728-5322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0018901.1 MS Primary

Addresses

Primary practice location

100 S Second St
Booneville, MS 38829-3225

Mailing address

100 S Second St
Booneville, MS 38829-3225
Phone (662) 728-5322

Other identifiers 1

IdentifierTypeStateIssuer
00440530MedicaidMS

National Provider Directory

National Provider Directory

Locations

100 S Second St
Booneville, MS 38829
Phone (662) 728-5322

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1497897714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SECOND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293225",
            "telephone_number": "662-728-5322",
            "fax_number": "662-728-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SECOND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293225",
            "telephone_number": "662-728-5322",
            "fax_number": "662-728-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH DRUG & HOME MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "662-728-5322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "0018901.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440530",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.