NPIMap

Organization Active NPI

Dutch Pharmacies Inc

Doing business as Family Pharmacy of Fulton

  • Community/Retail Pharmacy
  • Fulton, MS
National Provider Identifier
1902841265
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07471/01.2 Issued in MS
Legal business name
DUTCH PHARMACIES INC
Doing business as
Family Pharmacy of Fulton
Practice address
1313 S Adams St
Fulton, MS 38843-8862
Phone
(662) 862-7979
Fax
(662) 862-7843
NPI assigned
Jun 19, 2006
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DUTCH PHARMACIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Joseph Gillis
Title
Owner
Phone
(662) 327-5202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 07471/01.2 MS Primary

Addresses

Primary practice location

1313 S Adams St
Fulton, MS 38843-8862

Mailing address

1313 S Adams St
Fulton, MS 38843-8862
Phone (662) 862-7979

Other identifiers 1

IdentifierTypeStateIssuer
2045919OtherPK

Other names 1

  • FAMILY PHARMACY OF FULTON Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Dutch Pharmacies Inc9 organizations share this tax ID, including this one
Part of
Dutch Pharmacies Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1313 S Adams St
Fulton, MS 38843
Phone (662) 862-7979

Practitioners & affiliated clinicians

Practitioners 2

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1902841265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S ADAMS ST",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388438862",
            "telephone_number": "662-862-7979",
            "fax_number": "662-862-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S ADAMS ST",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388438862",
            "telephone_number": "662-862-7979",
            "fax_number": "662-862-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCH PHARMACIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUTCH PHARMACIES INC",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-327-5202"
    },
    "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": "07471/01.2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045919",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY OF FULTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.