Byhalia Drug Company LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

14850/1.1 Issued in MS

Legal business name

BYHALIA DRUG COMPANY LLC

Practice address

7984 Highway 178
Byhalia, MS 38611-6840

Phone

(662) 838-3784

Fax

(662) 838-3675

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Tony Smith

Title

Owner

Phone

(662) 728-1951

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Byhalia Drug Company, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1871944827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7984 HIGHWAY 178",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386116840",
            "telephone_number": "662-838-3784",
            "fax_number": "662-838-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7984 HIGHWAY 178",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386116840",
            "telephone_number": "662-838-3784",
            "fax_number": "662-838-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYHALIA DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-728-1951"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "14850/1.1",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byhalia Drug Company, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Byhalia Drug Company, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makiyah Dominique Bowens
• Brittney Boyd, DNP, FNP-C
• Chauntay Yvette Bradley, M.D.
• Yvonne Ingram Burns, M.A.
• Byhalia Drug
• Byhalia Vision Center LLC
• Lacutlass Sharnise Byno, NP
• Annabelle D. Cabe, M.D.
• Teresa Crockett, FNP
• Kimberly Lashun Cross, NP

• All providers in Byhalia, MS
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.