Economy Drugs of Clarksdale, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

01043 Issued in MS

Legal business name

ECONOMY DRUGS OF CLARKSDALE, INC

Practice address

2021 Hospital Dr
Clarksdale, MS 38614-7205

Phone

(662) 624-2356

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Val Soldevila

Title

Pres

Phone

(662) 624-2356

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841387560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147205",
            "telephone_number": "662-624-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMY DRUGS OF CLARKSDALE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLDEVILA",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "662-624-2356"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "01043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00035921",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02721011",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2502741",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niya Simone Dunlap, BS
• Kimberly Michelle Dye
• Destiny Earl
• Ron M Earl, M.S., L.S.W.
• Dallas Maxwell Earnest, FNP
• Ceclia Ellington, MSW
• Dorcas Poni Eshun, M.D
• Crystal Evans, MSW
• Lucy Evans, M.ED.
• Family First Clinic of Clarksdale, PLLC

• Pharmacist in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Pharmacist 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.