Organization Active NPI

Barrett Hodges Drugs, Inc.

  • Community/Retail Pharmacy
  • Greenwood, MS
National Provider Identifier
1518014356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00316 01.1 Issued in MS
Legal business name
BARRETT HODGES DRUGS, INC.
Practice address
105 Carrollton Ave
Greenwood, MS 38930-4436
Phone
(662) 453-4401
Fax
(662) 453-2527
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ira Charles Jones, RPH
Title
Pharmacist Vice President
Phone
(662) 453-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 00316 01.1 MS Primary

Addresses

Primary practice location

105 Carrollton Ave
Greenwood, MS 38930-4436

Mailing address

105 Carrollton Ave
Greenwood, MS 38930-4436
Phone (662) 453-4401

Other identifiers 1

IdentifierTypeStateIssuer
00034011MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518014356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CARROLLTON AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304436",
            "telephone_number": "662-453-4401",
            "fax_number": "662-453-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CARROLLTON AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304436",
            "telephone_number": "662-453-4401",
            "fax_number": "662-453-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT HODGES DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHARMACIST  VICE PRESIDENT",
        "authorized_official_telephone_number": "662-453-4401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00316 01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00034011",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.