Dogwood Family Pharmacy Inc

Key facts

NPI

1609923754

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

05437 (MS)

Legal business name

DOGWOOD FAMILY PHARMACY INC

Practice address

103 Town Creek Dr
Saltillo, MS 38866-7947

Phone

(662) 869-8383

Fax

(662) 869-1980

NPI assigned

Jan 4, 2007

Organization subpart

No

Authorized official

Name

Catina Hinton, PHD

Title

Pic

Phone

(662) 869-8383

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• DOGWOOD FAMILY PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 17, 2010.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1609923754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1506",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388661506",
            "telephone_number": "662-869-8383",
            "fax_number": "662-869-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TOWN CREEK DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388667947",
            "telephone_number": "662-869-8383",
            "fax_number": "662-869-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "CATINA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "662-869-8383",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "05437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330674",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2521056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOGWOOD FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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