Active NPI
Southern Drugs, Inc
Doing business as Southern Drug Store
- Pharmacist
- Columbus, MS
National Provider Identifier
1790882413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-06040
- Legal business name
- SOUTHERN DRUGS, INC
- Doing business as
- Southern Drug Store
- Practice address
- 1202 Main St
Columbus, MS 39701-5833 - Phone
- (662) 328-0833
- Fax
- (662) 328-6633
- NPI assigned
- Sep 17, 2006
- Last updated
- Aug 22, 2020
- 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 E Gable, R.PH.
- Title
- Vice President/Pharmacist
- Phone
- (662) 328-0833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-06040 | MS | Primary |
Addresses
Primary practice location
1202 Main St
Columbus, MS 39701-5833
Mailing address
1202 Main St
Columbus, MS 39701-5833
Phone (662) 328-0833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00030055 | Medicaid | MS | |
| 2500230 | Other | MS | NCPDP |
Other names 1
- Southern Drug Store
National Provider Directory
National Provider Directory- Tax ID family
- New Hope Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790882413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MAIN ST",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397015833",
"telephone_number": "662-328-0833",
"fax_number": "662-328-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MAIN ST",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397015833",
"telephone_number": "662-328-0833",
"fax_number": "662-328-6633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN DRUGS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GABLE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "662-328-0833",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-06040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00030055",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2500230",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Drug Store",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Columbus, MS
- Steven Paul Smith, MD
- Patricia Emily Smyth, FNP-BC
- Steven P Snow, MD
- Sondra Dowdle LLC
- Southern Drugs, Inc (New Hope Pharmacy)
- Southern Family Markets LLC (Southern Family Market)
- Southern Family Markets LLC (Southern Family Market)
- Southern Hearts Homecare Agency, LLC
- Southern Hospitality Transportation
- Southern Pharmaceutical Corporation (Quipt Home Medical Columbus)
Sources for this page
- 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.