Organization Active NPI

Dis Solutions LLC

  • Home Infusion Therapy Pharmacy
  • Starkville, MS
National Provider Identifier
1871770305
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
04633021 Issued in MS
Legal business name
DIS SOLUTIONS LLC
Doing business as
DIS SOLUTIONS
Practice address
403 Hospital Rd
Suite B
Starkville, MS 39759-2164
Phone
(662) 320-9696
Fax
(662) 323-5719
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Paul Russ Huddleston
Title
Chief Oper Office
Phone
(662) 769-0280

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 04633/02.1 MS
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 04633/021 MS
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X 04633021 MS Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

403 Hospital Rd
Suite B
Starkville, MS 39759-2164

Mailing address

PO Box 2371
Starkville, MS 39760-2371

Other identifiers 4

IdentifierTypeStateIssuer
2587143OtherOTHER ID NUMBER
00330522MedicaidMS
000030527OtherMSBC BS OF MS HIT
00440638MedicaidMS

Other names 1

  • DIS SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

Locations

403 Hospital Rd
Ste B
Starkville, MS 39759
Phone (662) 320-9696

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1871770305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2371",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397602371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HOSPITAL RD",
            "address_2": "SUITE B",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592164",
            "telephone_number": "662-320-9696",
            "fax_number": "662-323-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RUSS",
        "authorized_official_title_or_position": "CHIEF OPER OFFICE",
        "authorized_official_telephone_number": "662-769-0280"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "04633/02.1",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "04633/021",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "04633021",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2587143",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330522",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MS HIT",
            "identifier": "000030527",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440638",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIS SOLUTIONS",
            "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 Dec 15, 2009; 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.