Canton Discount Drugs, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Canton, MS
NPI 1629117189 · NPPES record last updated Feb 26, 2013
Key facts
- NPI
- 1629117189
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 1584-1CC (MS)
- Legal business name
- CANTON DISCOUNT DRUGS, INC.
- Practice address
- 726 E Peace St
Canton, MS 39046-4731 - Phone
- (601) 859-3827
- Fax
- (601) 859-3829
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sherry F Strong
- Title
- Office Manager
- Phone
- (601) 859-3827
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930063845 | MS | DME Supplier - Pharmacy | 9234256066 | Practice locations: Canton, MS |
National Provider Directory
- Tax ID family
- Canton Discount Drugs Inc
Locations
726 E Peace St
Canton, MS 39046
Phone (601) 859-3827
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1584-1CC | MS | Yes |
Addresses
Primary practice location
726 E Peace St
Canton, MS 39046-4731
Mailing address
726 E Peace St
Canton, MS 39046-4731
Phone (601) 859-3827
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00045041 | Medicaid | MS |
Other names
- Canton Discount Drugs DME
Other providers in Canton, MS
- Campbellrdnutrition
- Canton Cardiology Clinic
- Canton Communitydentalclinicllc
- Canton Discount Drugs Inc
- Canton Discount Drugs LTC
- Canton Family Clinic Inc.
- Canton Ms Opco LLC
- Canton Ms Operating LLC
- Canton Primary Care Clinic
- Canton Public School District
All providers in Canton, MS · Durable Medical Equipment & Medical Supplies in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2013. 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.