Picayune Drug Co., Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00937/01.1 Issued in MS

Legal business name

PICAYUNE DRUG CO., INC.

Practice address

110 Highway 11 N
Picayune, MS 39466-3312

Phone

(601) 798-4846

Fax

(601) 798-4825

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew L. Failla, R.PH.NPI 1093933798

Title

President

Phone

(601) 798-4846

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Picayune Drug Co., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Picayune, MS
  • NPI 1689601957

  1456478635

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Picayune Drug Co., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Picayune, MS
  • NPI 1689601957

  O20210412000984

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew L. Failla, R.PH

  • Pharmacist
  • Picayune, MS
  • NPI 1093933798
  NPD (past) Authorized official
• Ashlynn Brooke Kirkland

  • Pharmacist
  • Poplarville, MS
  • NPI 1962203299
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1922027622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HIGHWAY 11 N",
            "address_2": "P.O. BOX 10",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663312",
            "telephone_number": "601-798-4846",
            "fax_number": "601-798-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHWAY 11 N",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663312",
            "telephone_number": "601-798-4846",
            "fax_number": "601-798-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Highway 11 N",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662000",
            "country_code": "US",
            "telephone_number": "601-986-5657",
            "fax_number": "601-798-6562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S Main St",
            "address_purpose": "LOCATION",
            "city": "Poplarville",
            "state": "MS",
            "postal_code": "394703023",
            "country_code": "US",
            "telephone_number": "601-798-4239",
            "fax_number": "601-798-4941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Highway 11 N Ste A",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394663312",
            "country_code": "US",
            "telephone_number": "601-798-4846",
            "fax_number": "601-798-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PICAYUNE DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "FAILLA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-798-4846",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00937/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00045164",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030106",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033553",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2506600",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09589297",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Picayune Chiropractic Clinic Inc
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• Picayune Clinic LLC
• Picayune Drug Co. North
• Picayune Drug Co., Inc.
• Picayune Eye Clinic
• Picayune Family Health Center
• Picayune Family Practice Clinic, LLC
• Picayune General Dentistry, Inc.
• Picayune Homecare, LLC

• Community/Retail Pharmacy in Picayune, MS
• Providers in Picayune, 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 30, 2024; 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.