Magnolia Medshoppe LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAGNOLIA MEDSHOPPE LLC

Doing business as

Shepard's Discount Drugs

Practice address

431 Broad St
Columbia, MS 39429-3056

Phone

(601) 736-8212

NPI assigned

Mar 25, 2024

Last updated

May 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristyn Bumpers, PHARM.D.NPI 1790188159

Title

Pharmacist

Phone

(601) 441-4400

Specialties & licenses 1

Addresses

Other names 1

• Shepard's Discount Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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.

• Kristyn McDaniel Bumpers, PHARMD

  • Pharmacist
  • Columbia, MS
  • NPI 1790188159
  Authorized official Same address or phone

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1629828793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394290148",
            "telephone_number": "601-736-8212",
            "fax_number": "601-736-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293056",
            "telephone_number": "601-736-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDSHOPPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "BUMPERS",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-441-4400",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepard's Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Lowe
• Mia Antionettte Luter, LPTA
• Yulonda Luter
• Jeremy S Lynn, LPTA
• Magnolia Medical Clinic LLC
• Marion County School District
• Marion General Hospital
• Marion General Hospital
• Marion General Hospital
• Marion General Hospital

• Community/Retail Pharmacy in Columbia, MS
• Providers in Columbia, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.