Rick Quinn

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

03051/01.1 Issued in MS

Legal business name

RICK QUINN

Practice address

504 Alcorn Dr
Corinth, MS 38834-9392

Phone

(662) 286-5747

Fax

(662) 286-5508

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Ann Ketchum, R.PH.

Title

Chief Pharmacist

Phone

(662) 286-5747

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prescription Shoppe Doing business as

Tax ID family

Medical Plaza Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Medical Plaza Pharmacy

  • Community/Retail Pharmacy
  • Corinth, MS
  • NPI 1902945793
  NPD tax ID
• Rick Quinn

  • Durable Medical Equipment & Medical Supplies
  • Corinth, MS
  • NPI 1972642775
  NPD tax ID

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1811906357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349392",
            "telephone_number": "662-286-5747",
            "fax_number": "662-286-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349392",
            "telephone_number": "662-286-5747",
            "fax_number": "662-286-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK QUINN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "KETCHUM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "662-286-5747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "03051/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330175",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard C. Strachan Ms,DMD,PA
• Theodore David Richards Jr., D.O.
• Cathita Richardson
• Khadijah Richardson
• Oneka Y. Richardson, M.D.
• Rick Quinn
• Mica Nicole Rickman, MA,EDS
• Dylan Rider
• Helen Rider, MS
• Ivy Robbins

• All providers in Corinth, MS
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.