White'S Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WHITE'S PHARMACY, INC.

Practice address

301 Fifth Ave W
Wiggins, MS 39577-2204

Phone

(601) 928-4421

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca White Pipkins

Title

Owner

Phone

(601) 928-4421

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Tax ID family

Whites Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• White'S Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Wiggins, MS
  • NPI 1053927053
  NPD tax ID

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508892175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FIFTH AVE W",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772204",
            "telephone_number": "601-928-4421",
            "fax_number": "601-928-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FIFTH AVE W",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772204",
            "telephone_number": "601-928-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "PIPKINS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-928-4421",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "CS00470101.1",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00035041",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440233",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Wasilenko, CCC-SLP
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• Wert L White III, R.PH.
• White'S Pharmacy, Inc.
• Wiggins Family Dentistry
• Wiggins Primary Care
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• Kathy Renee Wilkinson, AGACNP
• Wilson'S Pharmacy, Inc.

• Community/Retail Pharmacy in Wiggins, MS
• Providers in Wiggins, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.