Village Pharmacy, L.L.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04114-01VH Issued in MS

Legal business name

VILLAGE PHARMACY, L.L.C.

Practice address

560 Weathersby Rd
Suite 170
Hattiesburg, MS 39402-1164

Phone

(601) 296-0807

Fax

(601) 450-0424

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Richard Brinson, RPH

Title

Pharmacist/Owner

Phone

(601) 296-0807

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760409585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WEATHERSBY RD",
            "address_2": "SUITE 170",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021164",
            "telephone_number": "601-296-0807",
            "fax_number": "601-450-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WEATHERSBY RD",
            "address_2": "SUITE 170",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021164",
            "telephone_number": "601-296-0807",
            "fax_number": "601-450-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "601-296-0807",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "04114-01VH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2519239",
            "identifier": "NABP",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330382",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PERMIT ID",
            "identifier": "04114-01VH",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shalini Vijayekumar, DO
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• Visionworks Inc
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• Kerri Felicia Vogt, LCSW

• Community/Retail Pharmacy in Hattiesburg, MS
• Providers in Hattiesburg, 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 Aug 22, 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.