Calverts Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00420/01.1 Issued in MS

Legal business name

CALVERTS DRUG STORE LLC

Doing business as

CALVERTS PHARMACY

Practice address

2561 Pass Rd
Ste a
Biloxi, MS 39531-2125

Phone

(228) 388-1411

Fax

(228) 388-1484

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Thomas Payne

Title

Owner

Phone

(228) 257-9334

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CALVERTS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1750409835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 PASS RD",
            "address_2": "STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 PASS RD",
            "address_2": "STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312125",
            "telephone_number": "228-388-1411",
            "fax_number": "228-388-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERTS DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-257-9334"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00420/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2502210",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030643",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALVERTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie Oustalet Byrne, MS,CCC-SLP
• C. a. 'Buddy' Brice, III, D.D.S.P.a.
• Nathaniel Boone Caldon, DMD
• Lindsey Calhoun, RDN, LD
• Ralph A Callender III, DDS
• Camellia Hospice of the Gulf Coast, LLC
• Joseph Camoratto, DPT
• Travis J Camp, SLP
• Kimberly La'Tette Campbell, NP
• Kevin Minh-Hieu Cao, PHARMD

• Community/Retail Pharmacy in Biloxi, MS
• Providers in Biloxi, 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 May 4, 2009; 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.