Active NPI
Johns' Discount Drugs, Inc.
- Community/Retail Pharmacy
- Purvis, MS
National Provider Identifier
1720084148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JOHNS' DISCOUNT DRUGS, INC.
- Practice address
- 117 Shelby Speights Drive
Purvis, MS 39475-0219 - Phone
- (601) 794-6701
- Fax
- (601) 794-5550
- NPI assigned
- Jun 21, 2005
- Last updated
- Mar 4, 2022
- 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. James S Stewart
- Title
- Owner
- Phone
- (601) 794-6701
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 00917 | MS | |
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Long Term Care Pharmacy | 3336L0003X | 00917 | MS |
Addresses
Primary practice location
117 Shelby Speights Drive
Purvis, MS 39475-0219
Mailing address
P. O. Box 219
117 Shelby Speights Drive
Purvis, MS 39475-0219
Phone (601) 794-6701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00037311 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Johns' Discount Drugs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Lumberton, MS
- NPI 1356477863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646352000000",
"number": "1720084148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 219",
"address_2": "117 SHELBY SPEIGHTS DRIVE",
"city": "PURVIS",
"state": "MS",
"postal_code": "394750219",
"telephone_number": "601-794-6701",
"fax_number": "601-794-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 SHELBY SPEIGHTS DRIVE",
"city": "PURVIS",
"state": "MS",
"postal_code": "394750219",
"telephone_number": "601-794-6701",
"fax_number": "601-794-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNS' DISCOUNT DRUGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-794-6701",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MS",
"license": "00917",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MS",
"license": "00917",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00037311",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Purvis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.