Organization Active NPI

Burns Inc

  • Community/Retail Pharmacy
  • Tupelo, MS
National Provider Identifier
1811247356
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13029/1.1 Issued in MS
Legal business name
BURNS INC
Practice address
1244 E Main St
Tupelo, MS 38804-2952
Phone
(662) 844-7811
Fax
(662) 844-7876
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Mrs. Terri Driskill, RPH
Title
Manager
Phone
(662) 844-7860

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 13029/1.1 MS Primary

Addresses

Primary practice location

1244 E Main St
Tupelo, MS 38804-2952

Mailing address

1244 E Main St
Tupelo, MS 38804-2952
Phone (662) 844-7811

Other identifiers 2

IdentifierTypeStateIssuer
05875871MedicaidMS
2141287OtherPK

Other names 1

  • Tupelo Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burns Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1244 E Main St
Tupelo, MS 38804
Phone (662) 844-7811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1811247356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 E MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388042952",
            "telephone_number": "662-844-7811",
            "fax_number": "662-844-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 E MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388042952",
            "telephone_number": "662-844-7811",
            "fax_number": "662-844-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "DRISKILL",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-844-7860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "13029/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05875871",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141287",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tupelo Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tupelo Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.