NPIMap

Organization Active NPI

James Poe

  • Durable Medical Equipment & Medical Supplies
  • Indianola, MS
National Provider Identifier
1790959948
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01009 Issued in MS
Legal business name
JAMES POE
Practice address
124 E Baker St
Indianola, MS 38751-2451
Phone
(662) 887-4533
Fax
(662) 887-4572
NPI assigned
Apr 18, 2008
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Jimmy R Poe, RPHNPI 1962557025
Title
Owner
Phone
(662) 887-4533

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
Durable Medical Equipment & Medical Supplies 332B00000X 01009 MS Primary

Addresses

Primary practice location

124 E Baker St
Indianola, MS 38751-2451

Mailing address

124 E Baker St
Indianola, MS 38751-2451
Phone (662) 887-4533

Other identifiers 1

IdentifierTypeStateIssuer
01286588MedicaidMS

Other names 1

  • MARTIN'S PHARMACY Other name

National Provider Directory

National Provider Directory

Locations

124 E Baker St
Indianola, MS 38751
Phone (662) 887-4533

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1790959948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512451",
            "telephone_number": "662-887-4533",
            "fax_number": "662-887-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512451",
            "telephone_number": "662-887-4533",
            "fax_number": "662-887-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES POE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-887-4533",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "01009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01286588",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTIN'S PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianola, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.