Organization Active NPI

John T Dressler

Doing business as Main Drug Co

  • Community/Retail Pharmacy
  • Lucedale, MS
National Provider Identifier
1528109238
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0016001 Issued in MS
Legal business name
JOHN T DRESSLER
Doing business as
Main Drug Co
Practice address
5199 Main St
Lucedale, MS 39452-6542
Phone
(601) 947-8168
Fax
(601) 947-7848
NPI assigned
Feb 8, 2007
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Connie Barton
Title
Office Insurance
Phone
(601) 947-8168

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0016001 MS Primary

Addresses

Primary practice location

5199 Main St
Lucedale, MS 39452-6542

Mailing address

5199 Main St
Lucedale, MS 39452-6542
Phone (601) 947-8168

Other identifiers 2

IdentifierTypeStateIssuer
2043288OtherPK
00330065MedicaidMS

Other names 1

  • MAIN DRUG CO Doing business as

National Provider Directory

National Provider Directory

Locations

5199 Main St
Lucedale, MS 39452
Phone (601) 947-8168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1528109238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 MAIN ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526542",
            "telephone_number": "601-947-8168",
            "fax_number": "601-947-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 MAIN ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526542",
            "telephone_number": "601-947-8168",
            "fax_number": "601-947-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T DRESSLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OFFICE INSURANCE",
        "authorized_official_telephone_number": "601-947-8168"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "0016001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043288",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330065",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.