Active NPI
Pearson Discount Drugs
- Durable Medical Equipment & Medical Supplies
- Amory, MS
National Provider Identifier
1700839552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 06731/02.0
- Legal business name
- PEARSON DISCOUNT DRUGS
- Practice address
- 1113 Highway 278 E
Amory, MS 38821-5627 - Phone
- (662) 256-2955
- Fax
- (662) 256-2944
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin S Kilgore
- Title
- President
- Phone
- (662) 456-4630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 06731/02.0 | MS | Primary |
Addresses
Primary practice location
1113 Highway 278 E
Amory, MS 38821-5627
Mailing address
1113 Highway 278 E
Amory, MS 38821-5627
Phone (662) 256-2955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00045092 | Medicaid | MS |
Other names 1
- Hometown Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057664 | MS | DME Supplier - Medical Supply Company With Respiratory Therapist | 3072630086 | Practice locations: Amory, MS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pearson Discount Drugs | Nebulizer Drugs|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devic… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
400 Main St N
Amory, MS 38821
Phone (662) 256-2955
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Houston, MS
- NPI 1407939861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1700839552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 HIGHWAY 278 E",
"city": "AMORY",
"state": "MS",
"postal_code": "388215627",
"telephone_number": "662-256-2955",
"fax_number": "662-256-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 HIGHWAY 278 E",
"city": "AMORY",
"state": "MS",
"postal_code": "388215627",
"telephone_number": "662-256-2955",
"fax_number": "662-256-2944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARSON DISCOUNT DRUGS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "KILGORE",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-456-4630",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "06731/02.0",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00045092",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hometown Healthcare",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Hometown Healthcare",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Amory, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.