DWC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

01826.01 Issued in MS

Legal business name

DWC

Doing business as

dan's discount drugs

Practice address

403 S Church Ave
Louisville, MS 39339-2921

Phone

(662) 773-7847

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Patri E Ellis, BSNPI 1235228461

Title

Owner Pharmacist

Phone

(662) 773-7847

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dan's discount drugs Doing business as

Practitioners 1

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

• Patri Ellis, RPH

  • Pharmacist
  • Louisville, MS
  • NPI 1235228461
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821123944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S CHURCH AVE",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392921",
            "telephone_number": "662-773-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S CHURCH AVE",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392921",
            "telephone_number": "662-773-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "PATRI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "662-773-7847",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "01826.01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030300",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dan's discount drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Patri Ellis, RPH
• Angela K Elmshaeuser, DPT

• Community/Retail Pharmacy in Louisville, MS
• Providers in Louisville, 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 Mar 7, 2023; 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.