Baptist Memorial Hospital-Booneville, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.

Practice address

100 Hospital St
Booneville, MS 38829-3354

Phone

(662) 720-5250

Fax

(662) 720-5275

NPI assigned

Sep 28, 2020

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

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

Authorized official

Name

Gregory M Duckett

Title

Sr VP/ Clo

Phone

(901) 227-5233

Specialties & licenses 1

Addresses

Other names 1

• Baptist Booneville Outpatient Pharmacy Other name

Tax ID family

Baptist Mem Hosp Booneville2 organizations share this tax ID, including this one

Part of

Baptist Memorial Health Care Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Baptist Memorial Hospital-Booneville, Inc.

  • Psychiatric Hospital Unit
  • Booneville, MS
  • NPI 1619934551
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Baptist Memorial Health Care Corp.

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1649615964
  NPPES parent name

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1730796483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-227-4133",
            "fax_number": "901-227-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-720-5250",
            "fax_number": "662-720-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP/ CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Booneville Outpatient Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Baptist Booneville Outpatient Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Baker, LPC
• Nathan Ward Baldwin, MD
• Baptist Memorial Hospital-Booneville, Inc.
• Baptist Memorial Hospital-Booneville, Inc.
• Baptist Memorial Hospital-Booneville, Inc.
• Charles Mitchell Barrett, RPH
• Dorothy May Bean
• William J Bell Jr., MD
• Patricia D. Billups
• Malerie Blakney

• Community/Retail Pharmacy in Booneville, MS
• Providers in Booneville, 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 Sep 30, 2020; 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.