Organization Active NPI

Boones Pharmacy Inc

  • Long Term Care Pharmacy
  • Poplarville, MS
National Provider Identifier
1548826563
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BOONES PHARMACY INC
Practice address
937 S Main St
Poplarville, MS 39470-3111
Phone
(601) 795-4566
NPI assigned
May 15, 2019
Last updated
May 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Larry Melvin BooneNPI 1841730256
Title
Pharmacist/Owner
Phone
(601) 795-4566

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

937 S Main St
Poplarville, MS 39470-3111

Mailing address

937 S Main St
Poplarville, MS 39470-3111
Phone (601) 795-4566

National Provider Directory

National Provider Directory
Tax ID family
Boones Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

937 S Main St
Poplarville, MS 39470
Phone (601) 795-4566

Practitioners & affiliated clinicians

Practitioners 2

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": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1548826563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 S MAIN ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703111",
            "telephone_number": "601-795-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 S MAIN ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703111",
            "telephone_number": "601-795-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "601-795-4566"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.