Organization Active NPI

Northlaurel Discount Drugs, Inc.

Doing business as Quinn Pharmacy

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Laurel, MS
National Provider Identifier
1649209305
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
01101/01.1 Issued in MS
Legal business name
NORTHLAUREL DISCOUNT DRUGS, INC.
Doing business as
Quinn Pharmacy
Practice address
104 S 13TH Ave
Laurel, MS 39440-4112
Phone
(601) 426-2370
Fax
(601) 518-0194
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Mr. James L. Hicks, III, RPHNPI 1780625897
Title
Pharmacy Manager
Phone
(601) 426-2370

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
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 01101/01.1 MS Primary

Addresses

Primary practice location

104 S 13TH Ave
Laurel, MS 39440-4112

Mailing address

PO Box 87
Laurel, MS 39441-0087
Phone (601) 426-2370

Other identifiers 1

IdentifierTypeStateIssuer
00030428MedicaidMS

Other names 1

  • Quinn Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3160 Audubon Dr
Laurel, MS 39440
Phone (601) 426-2370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1649209305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410087",
            "telephone_number": "601-426-2370",
            "fax_number": "601-518-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404112",
            "telephone_number": "601-426-2370",
            "fax_number": "601-518-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAUREL DISCOUNT DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "HICKS, III",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "601-426-2370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "01101/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030428",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quinn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.