NPIMap

Organization Active NPI

Golden Triangle Planning and Development District

  • Long Term Care Pharmacy
  • Starkville, MS
National Provider Identifier
1811322753
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GOLDEN TRIANGLE PLANNING AND DEVELOPMENT DISTRICT
Doing business as
GOLDEN TRIANGLE PDD PHARMACY
Practice address
301 CC Clark
Starkville, MS 39759
Phone
(662) 320-2011
Fax
(662) 320-2004
NPI assigned
Sep 11, 2013
Organization subpart
Yes
Parent organization
GOLDEN TRIANGLE PLANNING AND DEVELOPMENT DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Mr. Rupert L Johnson
Title
Executive Director
Phone
(662) 324-7860

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X F12603 MS
Community/Retail Pharmacy 3336C0003X F12603 MS
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

301 CC Clark
Starkville, MS 39759

Mailing address

PO Box 828
Starkville, MS 39760-0828
Phone (662) 320-2011

Other names 1

  • GOLDEN TRIANGLE PDD PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Triangle Planning Development District Inc8 organizations share this tax ID, including this one
Part of
Golden Triangle Planning Development District Inc

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1811322753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397600828",
            "telephone_number": "662-320-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CC CLARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-320-2011",
            "fax_number": "662-320-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE PLANNING AND DEVELOPMENT DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN TRIANGLE PLANNING AND DEVELOPMENT DISTRICT",
        "enumeration_date": "2013-09-11",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-324-7860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MS",
            "license": "F12603",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "F12603",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN TRIANGLE PDD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOLDEN TRIANGLE PDD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.