Active NPI
Dis Solutions LLC
- Home Infusion Therapy Pharmacy
- Starkville, MS
National Provider Identifier
1871770305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 04633021
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2587143 | Other | OTHER ID NUMBER | |
| 00330522 | Medicaid | MS | |
| 000030527 | Other | MS | BC BS OF MS HIT |
| 00440638 | Medicaid | MS |
Other names 1
- DIS SOLUTIONS
National Provider Directory
National Provider DirectoryLocations
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.