CT Stamps Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02430/1.1 Issued in MS

Legal business name

CT STAMPS INC

Doing business as

Family Pharmacy

Practice address

200 Marion Ave
McComb, MS 39648-2706

Phone

(601) 684-7621

Fax

(601) 684-8250

NPI assigned

Oct 25, 2006

Last updated

Dec 18, 2012By 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

Tim Stamps

Title

Pharmacist in Charge/ Owner

Phone

(601) 684-7621

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• FAMILY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1669556700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482706",
            "telephone_number": "601-684-7621",
            "fax_number": "601-684-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482706",
            "telephone_number": "601-684-7621",
            "fax_number": "601-684-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT STAMPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "STAMPS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/ OWNER",
        "authorized_official_telephone_number": "601-684-7621"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "02430/1.1",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016102",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2517665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440127",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330070",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micah Kennedy Craft, FNP
• Kelly C Crawford, OTR/L
• Robert L. Crosby III, MD
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• CT Stamps Inc (McComb Express Pharmacy)
• Abolarin Dada, DO
• Patrick Daigle, MD
• Erika Daley
• Krystal Davis

• Community/Retail Pharmacy in McComb, MS
• Providers in McComb, 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 Dec 18, 2012; 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.