NPIMap

Organization Active NPI

River Region Health System

  • Pharmacy
  • Vicksburg, MS
National Provider Identifier
1689039711
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
E-13632 Issued in MS
Legal business name
RIVER REGION HEALTH SYSTEM
Practice address
2100 Highway 61 N
Pharmacy
Vicksburg, MS 39183-8211
Phone
(601) 415-3809
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
V Karen Flinn
Title
VP
Phone
(361) 579-0315

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X E-13632 MS Primary
Clinic Pharmacy 3336C0002X E-13632 MS
Community/Retail Pharmacy 3336C0003X E-13632 MS
Compounding Pharmacy 3336C0004X E-13632 MS
Institutional Pharmacy 3336I0012X E-13632 MS

Addresses

Primary practice location

2100 Highway 61 N
Pharmacy
Vicksburg, MS 39183-8211

Mailing address

118 Breckenridge Dr
Apt 205
Hattiesburg, MS 39402-3504
Phone (601) 415-3809

National Provider Directory

National Provider Directory
Tax ID family
Vicksburg Health Care L5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1689039711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BRECKENRIDGE DR",
            "address_2": "APT 205",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023504",
            "telephone_number": "601-415-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 61 N",
            "address_2": "PHARMACY",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838211",
            "telephone_number": "601-415-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER REGION HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "361-579-0315"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "E-13632",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MS",
            "license": "E-13632",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "E-13632",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MS",
            "license": "E-13632",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MS",
            "license": "E-13632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.