Organization Active NPI

Pearson Discount Drugs

  • Durable Medical Equipment & Medical Supplies
  • Amory, MS
National Provider Identifier
1700839552
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
06731/02.0 Issued in MS
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

Updated by the provider on Apr 2, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00045092MedicaidMS

Other names 1

  • Hometown Healthcare Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930057664 MS DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 3072630086 Practice locations: Amory, MS

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Pearson Discount Drugs1113 Highway 278 E, Amory, MS 38821-5627(662) 256-2955 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.