City Rexall Drugs II Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00179/1.1 Issued in MS

Legal business name

CITY REXALL DRUGS II INC

Practice address

349 S Main St
Picayune, MS 39466-4415

Phone

(601) 798-4761

Fax

(601) 798-4761

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Pisarich

Title

Pharmacist

Phone

(228) 861-5076

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CITY REXALL DRUGS INC Doing business as

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1720009772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 S MAIN ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664415",
            "telephone_number": "601-798-4761",
            "fax_number": "601-798-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 S MAIN ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664415",
            "telephone_number": "601-798-4761",
            "fax_number": "601-798-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY REXALL DRUGS II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "PISARICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "228-861-5076"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00179/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00045063",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043348",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY REXALL DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Picayune, MS
• Providers in Picayune, 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 Apr 21, 2025; 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.