Brents Drugs Inc

Key facts

NPI

1508936683

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

Legal business name

BRENTS DRUGS INC

Practice address

655 Duling Ave
Jackson, MS 39216-4008

Phone

(601) 366-3428

Fax

(601) 366-0263

NPI assigned

Nov 8, 2006

Organization subpart

No

Authorized official

Name

Randy Calvert

Title

President

Phone

(601) 366-1012

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 14, 2007.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1508936683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DULING AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164008",
            "telephone_number": "601-366-1012",
            "fax_number": "601-366-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DULING AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164008",
            "telephone_number": "601-366-3428",
            "fax_number": "601-366-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-366-1012"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "00743011",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2504555",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035394",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

• Barbara Brent
• Demetress Brent
• Lori Beth Brent, FNP
• Vera Brent, APRN
• Zeporah Brent, BSW, CSS
• Brents Drugs of Belhaven
• Joyce Brewer, CFNP, CNM
• Kathleen Boyles Brewer, FNP-C
• Michelle Hollingsworth Brewer, CRNA
• Robyn Riley Brewer, BCBA

All providers in Jackson, MS · Community/Retail Pharmacy in Mississippi