3 Brothers Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

3 BROTHERS PHARMACY LLC

Practice address

645 Evelyn Ave
Clarksdale, MS 38614-5307

Phone

(662) 934-9213

Fax

(662) 592-5180

NPI assigned

Sep 26, 2019

Last updated

Jun 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alvin C Dixon, RPHNPI 1891252805

Title

Pharmacy Manager

Phone

(662) 934-9213

Specialties & licenses 1

Addresses

Locations

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.

• Alvin Clayton Dixon

  • Pharmacist
  • Clarksdale, MS
  • NPI 1891252805
  NPD Authorized official

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1801447214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 CHERRY ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144121",
            "telephone_number": "662-934-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 EVELYN AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386145307",
            "telephone_number": "662-934-9213",
            "fax_number": "662-592-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 BROTHERS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "662-934-9213",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Clarksdale, MS
• Providers in Clarksdale, 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 Jun 29, 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.