Active NPI
Northlaurel Discount Drugs, Inc.
Doing business as Quinn Compounding Pharmacy
- Compounding Pharmacy
- Laurel, MS
National Provider Identifier
1710679543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- Legal business name
- NORTHLAUREL DISCOUNT DRUGS, INC.
- Doing business as
- Quinn Compounding Pharmacy
- Practice address
- 3160 Audubon Dr
Laurel, MS 39440-1926 - Phone
- (601) 426-2370
- Fax
- (601) 519-0194
- NPI assigned
- May 22, 2023
- Last updated
- May 22, 2023
- 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
- James L. Hicks, III, PHARMACIST
- Title
- Manager
- Phone
- (601) 642-6023
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Compounding Pharmacy | 3336C0004X | Primary |
Addresses
Primary practice location
3160 Audubon Dr
Laurel, MS 39440-1926
Mailing address
3160 Audubon Dr
Laurel, MS 39440-1926
Phone (601) 426-2370
Other names 1
- Quinn Compounding Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Laurel, MS
- NPI 1780625897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1710679543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 AUDUBON DR",
"city": "LAUREL",
"state": "MS",
"postal_code": "394401926",
"telephone_number": "601-426-2370",
"fax_number": "601-519-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 AUDUBON DR",
"city": "LAUREL",
"state": "MS",
"postal_code": "394401926",
"telephone_number": "601-426-2370",
"fax_number": "601-519-0194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHLAUREL DISCOUNT DRUGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-11",
"status": "A",
"authorized_official_last_name": "HICKS, III",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "601-642-6023",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quinn Compounding Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.