Organization Active NPI

Edinburg Drugs LLC

Doing business as Edinburg Drugs

  • Community/Retail Pharmacy
  • Carthage, MS
National Provider Identifier
1790404143
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EDINBURG DRUGS LLC
Doing business as
Edinburg Drugs
Practice address
3104 Hwy 16
Carthage, MS 39051-3905
Phone
(769) 257-4477
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Codie CauthenNPI 1003416488
Title
Pic/ Owner
Phone
(769) 257-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3104 Hwy 16
Carthage, MS 39051-3905

Mailing address

10820 Hwy 427
Philadelphia, MS 39350
Phone (769) 257-4477

Other names 1

  • Edinburg Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230805000066 MS Part B Supplier - Mass Immunization (Roster Biller Only) 5294190179 Practice locations: Carthage, MS

National Provider Directory

National Provider Directory

Locations

3104 Highway 16 E
Carthage, MS 39051
Phone (601) 654-2015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1790404143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 HWY 427",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "39350",
            "telephone_number": "769-257-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 HWY 16",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390513905",
            "telephone_number": "769-257-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINBURG DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "CAUTHEN",
        "authorized_official_first_name": "CODIE",
        "authorized_official_title_or_position": "PIC/ OWNER",
        "authorized_official_telephone_number": "769-257-4477"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edinburg Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.