Brents Drugs of Belhaven

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

06747 Issued in MS

Legal business name

BRENTS DRUGS OF BELHAVEN

Practice address

902B E Fortification St
Jackson, MS 39202

Phone

(601) 355-5114

Fax

(601) 352-9282

NPI assigned

Nov 15, 2006

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy Calvert

Title

Pres

Phone

(601) 355-5114

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1861564486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902B E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902B E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-355-5114",
            "fax_number": "601-352-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTS DRUGS OF BELHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "601-355-5114"
    },
    "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": "06747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2586292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033061",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2586292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetress Brent
• Lori Beth Brent, FNP
• Vera Brent, APRN
• Zeporah Brent, BSW, CSS
• Brents Drugs Inc
• Joyce Brewer, CFNP, CNM
• Kathleen Boyles Brewer, FNP-C
• Michelle Hollingsworth Brewer, CRNA
• Robyn Riley Brewer, BCBA
• Sheryl Smith Brewer, NP

• Community/Retail Pharmacy in Jackson, MS
• Providers in Jackson, 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 Jul 20, 2007; 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.