Mississippi Discount Drugs of Clinton, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00837 Issued in MS

Legal business name

MISSISSIPPI DISCOUNT DRUGS OF CLINTON, INC.

Practice address

224 Clinton Blvd
Clinton, MS 39056-5126

Phone

(601) 924-5212

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bob K Parks, RPH

Title

Owner

Phone

(601) 924-5212

Specialties & licenses 1

Addresses

Other names 1

• Mississippi Discount Drugs Health Mart Doing business as

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801810288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CLINTON BLVD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565126",
            "telephone_number": "601-924-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CLINTON BLVD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565126",
            "telephone_number": "601-924-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI DISCOUNT DRUGS OF CLINTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-924-5212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Discount Drugs Health Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elise Ades Milliman, RN
• Amanda M Ming, RDN
• Mississippi College
• Mississippi CVS Pharmacy LLC
• Mississippi Discount Drugs of Clinton Inc
• Mississippi Orthopedic Supply, LLC
• Carvina Vadoll Mitchell, B.S, M.S
• Jayla Mondy
• Felicia Moore
• Valrie Morris

• Community/Retail Pharmacy in Clinton, MS
• Providers in Clinton, 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 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.

Verify at the official NPI Registry.