Locke Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00504011 Issued in MS

Legal business name

LOCKE DRUG STORE INC

Doing business as

Locke Drug Store Inc

Practice address

410 E Walnut St
Ripley, MS 38663-2112

Phone

(662) 837-7177

Fax

(662) 837-7719

NPI assigned

Sep 20, 2006

Last updated

Mar 15, 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

James Byrd, RPH

Title

Pic Owner

Phone

(662) 837-7177

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LOCKE DRUG STORE INC Doing business as

Locations

Practitioners 2

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.

• Diana Baker Spencer, R.PH.

  • Pharmacist
  • Ripley, MS
  • NPI 1427276138
  NPD (past)
• Tommy Eugene Vickers, RPH

  • Pharmacist
  • Ripley, MS
  • NPI 1730308446
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1699872523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E WALNUT ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632112",
            "telephone_number": "662-837-7177",
            "fax_number": "662-837-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E WALNUT ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632112",
            "telephone_number": "662-837-7177",
            "fax_number": "662-837-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PIC OWNER",
        "authorized_official_telephone_number": "662-837-7177",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00504011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2506941",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030030",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOCKE DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaliyah Niquay Johnson, PCSS
• Natasha Jourdan, BS
• Melanie Kincaid, R.N.
• Shana Nicole Langford, RN
• Diana Lynn Leonard, APRN FNP-C
• Raven Logan
• Karla Jean Lusby, LSW
• Mag Medical & Medispa, LLC
• Magnolia State Family Medicine, LLC
• Beth March, MSW

• Community/Retail Pharmacy in Ripley, MS
• Providers in Ripley, 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 Mar 15, 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.