NPIMap

Organization Active NPI

Foot Solutions LLC

  • Clinic Pharmacy
  • Woodland, MS
National Provider Identifier
1508072273
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
FOOT SOLUTIONS LLC
Practice address
120 Market St
Woodland, MS 39776-9104
Phone
(662) 456-0133
Fax
(662) 456-7335
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Jerrie Sullivan
Title
Owner
Phone
(662) 456-0133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

120 Market St
Woodland, MS 39776-9104

Mailing address

120 Market St
Woodland, MS 39776-9104
Phone (662) 456-0133

Other identifiers 3

IdentifierTypeStateIssuer
425800862DOtherMSBLUE CROSS BLUE SHIELD
00440529MedicaidMS
427371344BOtherMSBLUE CROSS BLUE SHIELD

Other names 1

  • Foot Solutions LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1508072273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARKET ST",
            "city": "WOODLAND",
            "state": "MS",
            "postal_code": "397769104",
            "telephone_number": "662-456-0133",
            "fax_number": "662-456-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MARKET ST",
            "city": "WOODLAND",
            "state": "MS",
            "postal_code": "397769104",
            "telephone_number": "662-456-0133",
            "fax_number": "662-456-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JERRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-456-0133"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "425800862D",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440529",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "427371344B",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.