Kings Discount Pharmacy
Organization Active NPI Community/Retail Pharmacy · Bude, MS
NPI 1528079035 · NPPES record last updated Sep 20, 2016
Key facts
- NPI
- 1528079035
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 01357 (MS)
- Legal business name
- KINGS DISCOUNT PHARMACY
- Practice address
- 44 Hwy 98 E
Bude, MS 39630-0134 - Phone
- (601) 384-2898
- Fax
- (601) 384-4326
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Richard King, RPH
- Title
- Owner
- Phone
- (601) 384-2898
Practitioners 2
-
Richard King Jr., RPH
-
Heather Michelle Priest, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082421 | MS | DME Supplier - Pharmacy | 9335260249 | Practice locations: Bude, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 01357 | MS | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
44 Hwy 98 E
Bude, MS 39630-0134
Mailing address
PO Box 134
Bude, MS 39630-0134
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00095311 | Medicaid | MS | |
| 2044350 | Other | PK |
Other names
- KINGS DISCOUNT PHARMACY
Other providers in Bude, MS
- Franklin County Memorial Hospital
- Marcia Jones Holloway
- Lindsey Jackson
- Richard King Jr.
- King'S Discount Pharmacy
- Mississippi State Department of Health
- Heather Michelle Priest
- Alisa B Smith
- Christina Danyale Smith
- Speigha Health, Incorporated
All providers in Bude, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.