Organization Active NPI

Wilsons Drug Co Inc

Doing business as Wilson-Holder Drug Company

  • Community/Retail Pharmacy
  • Natchez, MS
National Provider Identifier
1528170529
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01732011 Issued in MS
Legal business name
WILSONS DRUG CO INC
Doing business as
Wilson-Holder Drug Company
Practice address
636 Franklin St
Natchez, MS 39120-3312
Phone
(601) 442-7611
Fax
(601) 442-0664
NPI assigned
Aug 31, 2006
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Larry Holder, RPHNPI 1013125012
Title
Registered Pharmacist Owner
Phone
(601) 442-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 01732011 MS Primary

Addresses

Primary practice location

636 Franklin St
Natchez, MS 39120-3312

Mailing address

636 Franklin St
Natchez, MS 39120-3312
Phone (601) 442-7611

Other identifiers 2

IdentifierTypeStateIssuer
2050514OtherPK
0035122MedicaidMS

Other names 1

  • WILSON-HOLDER DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

Locations

636 Franklin St
Natchez, MS 39120
Phone (601) 442-7611

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1528170529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 FRANKLIN ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203312",
            "telephone_number": "601-442-7611",
            "fax_number": "601-442-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 FRANKLIN ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203312",
            "telephone_number": "601-442-7611",
            "fax_number": "601-442-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONS DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST OWNER",
        "authorized_official_telephone_number": "601-442-7611",
        "authorized_official_credential": "RPH"
    },
    "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": "01732011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050514",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035122",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILSON-HOLDER DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.