Gene Polks Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00445/1.1 Issued in MS

Legal business name

GENE POLKS INC

Doing business as

Gene Polks Pharmacy

Practice address

406 Simpson Highway 149
Magee, MS 39111-3416

Phone

(601) 849-2532

Fax

(601) 849-2558

NPI assigned

Aug 10, 2006

Last updated

Dec 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brinson Polk, RPH

Title

Owner

Phone

(601) 849-2533

Specialties & licenses 2

Addresses

Other names 1

• GENE POLKS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1912918558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SIMPSON HIGHWAY 149",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113416",
            "telephone_number": "601-849-2532",
            "fax_number": "601-849-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SIMPSON HIGHWAY 149",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113416",
            "telephone_number": "601-849-2532",
            "fax_number": "601-849-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE POLKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "BRINSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-849-2533",
        "authorized_official_credential": "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": "00445/1.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENE POLKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Magee, MS
• Providers in Magee, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.