Organization Active NPI

Beemon Drugs Inc

  • Community/Retail Pharmacy
  • Jackson, MS
National Provider Identifier
1699877191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00708 Issued in MS
Legal business name
BEEMON DRUGS INC
Practice address
1220 E Northside Dr
315
Jackson, MS 39211-5503
Phone
(601) 366-9431
NPI assigned
Sep 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lester Hailey, RPHNPI 1972605467
Title
Owner
Phone
(601) 366-9431

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
Community/Retail Pharmacy 3336C0003X 00708 MS Primary

Addresses

Primary practice location

1220 E Northside Dr
315
Jackson, MS 39211-5503

Mailing address

1220 E Northside Dr
315
Jackson, MS 39211-5503
Phone (601) 366-9431

Other identifiers 1

IdentifierTypeStateIssuer
00030279MedicaidMS

National Provider Directory

National Provider Directory

Locations

1220 E Northside Dr
#315
Jackson, MS 39211
Phone (601) 366-9431

1220 E Northside Dr
Ste 340
Jackson, MS 39211
Phone (601) 366-9431

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699877191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E NORTHSIDE DR",
            "address_2": "315",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115503",
            "telephone_number": "601-366-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E NORTHSIDE DR",
            "address_2": "315",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115503",
            "telephone_number": "601-366-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEMON DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAILEY",
        "authorized_official_first_name": "LESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-366-9431",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030279",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.