Hollis Discount Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HOLLIS DISCOUNT PHARMACY, INC

Doing business as

Hollis Discount Pharmacy

Practice address

1008 City Ave N
Ripley, MS 38663-1413

Phone

(662) 837-7300

Fax

(662) 837-3600

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By 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

Jimmy L Tucker, RPH

Title

Ceo/President

Phone

(662) 837-7323

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HOLLIS DISCOUNT PHARMACY Doing business as

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1801553367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631413",
            "telephone_number": "662-837-7323",
            "fax_number": "662-837-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631413",
            "telephone_number": "662-837-7300",
            "fax_number": "662-837-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS DISCOUNT PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "662-837-7323",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00095087",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLLIS DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Hill
• Katelyn Hiltz
• Katie W Hodges, MSW, LCSW, LSW
• Macy Allyn Holcomb
• Hollis Discount Pharmacy, Inc
• Danna Hopper, LPC
• Alexis Brooke Horn, PCSS
• Vincent Huffstutler
• Cheryl May Jackson
• Tammy Z Jackson, CFNP

• Community/Retail Pharmacy in Ripley, MS
• Providers in Ripley, 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 Nov 19, 2021; 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.