NPIMap

Organization Active NPI

Shields Drugs Inc

Doing business as Service Drugs

  • Community/Retail Pharmacy
  • Ridgeland, MS
National Provider Identifier
1891861555
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03009/1.1 Issued in MS
Legal business name
SHIELDS DRUGS INC
Doing business as
Service Drugs
Practice address
680 Highway 51
Ste G
Ridgeland, MS 39157-2103
Phone
(601) 853-4611
Fax
(601) 853-0521
NPI assigned
Nov 27, 2006
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Tommy Shields, BSP RPHNPI 1104474956
Title
Owner/ President
Phone
(601) 853-4611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 03009/1.1 MS Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

680 Highway 51
Ste G
Ridgeland, MS 39157-2103

Mailing address

680 Highway 51
Ste G
Ridgeland, MS 39157-2103
Phone (601) 853-4611

Other identifiers 2

IdentifierTypeStateIssuer
2045451OtherPK
00330163MedicaidMS

Other names 1

  • SERVICE DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

680 Highway 51
Ste G
Ridgeland, MS 39157
Phone (601) 853-4611

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1891861555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HIGHWAY 51",
            "address_2": "STE G",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572103",
            "telephone_number": "601-853-4611",
            "fax_number": "601-853-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HIGHWAY 51",
            "address_2": "STE G",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572103",
            "telephone_number": "601-853-4611",
            "fax_number": "601-853-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "601-853-4611",
        "authorized_official_credential": "BSP   RPH"
    },
    "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": "03009/1.1",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045451",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330163",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.