Active NPI
Griffin Drugs, Inc.
- Durable Medical Equipment & Medical Supplies
- McComb, MS
National Provider Identifier
1508891532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01609/01.1
- Legal business name
- GRIFFIN DRUGS, INC.
- Practice address
- 119 W Presley Blvd
McComb, MS 39648-5534 - Phone
- (601) 684-3355
- Fax
- (601) 684-3476
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leonard Griffin
- Title
- President
- Phone
- (601) 684-3355
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01609/01.1 | MS | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 01609-01.1 | MS | |
| Pharmacy | 333600000X | 01609/01.1 | MS | |
| Community/Retail Pharmacy | 3336C0003X | 01609/01.1 | MS | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 01609/01.1 | MS | |
| Long Term Care Pharmacy | 3336L0003X | 01609/01.1 | MS | |
| Mail Order Pharmacy | 3336M0002X | 01609/01.1 | MS | |
| Specialty Pharmacy | 3336S0011X | 01609/01.1 | MS |
Addresses
Primary practice location
119 W Presley Blvd
McComb, MS 39648-5534
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Phone (601) 482-7420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00030338 | Medicaid | MS | |
| 00040019 | Medicaid | ME |
Other names 1
- Vital Care of Southwest Mississippi
National Provider Directory
National Provider DirectoryLocations
119 W Presley Blvd
McComb, MS 39648
Phone (601) 684-2871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1508891532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5047",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025047",
"telephone_number": "601-482-7420",
"fax_number": "601-482-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W PRESLEY BLVD",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396485534",
"telephone_number": "601-684-3355",
"fax_number": "601-684-3476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRIFFIN DRUGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "LEONARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-684-3355"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "01609/01.1",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MS",
"license": "01609-01.1",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MS",
"license": "01609/01.1",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "01609/01.1",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "MS",
"license": "01609/01.1",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MS",
"license": "01609/01.1",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "MS",
"license": "01609/01.1",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MS",
"license": "01609/01.1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00030338",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00040019",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Care of Southwest Mississippi",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.