Charles G. Quinn

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CHARLES G. QUINN

Practice address

2012 E Shiloh Rd
Corinth, MS 38834-3727

Phone

(662) 286-8300

Fax

(662) 286-8305

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Gregory Quinn, RPH

Title

Owner

Phone

(662) 286-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• B & R Health Mart Other name

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1518979574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343727",
            "telephone_number": "662-286-8300",
            "fax_number": "662-286-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343727",
            "telephone_number": "662-286-8300",
            "fax_number": "662-286-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G. QUINN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-286-8300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030564",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B & R Health Mart",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Retail Pharmacy in Corinth, MS
• Providers in Corinth, 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 Mar 7, 2023; 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.