Concerncare Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

05390/02.2 Issued in MS

Legal business name

CONCERNCARE PHARMACY

Practice address

148B W Green St
Suite 150
Hazlehurst, MS 39083-3009

Phone

(601) 894-6098

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By 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

Mr. Bradley Allen Vinke

Title

President

Phone

(888) 995-7207

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952484628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD",
            "address_2": "SUITE 52B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032673",
            "telephone_number": "850-858-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148B W GREEN ST",
            "address_2": "SUITE 150",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390833009",
            "telephone_number": "601-894-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERNCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINKE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-995-7207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "05390/02.2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Drug 2, LLC (City Drug Pharmacy and Gifts)
• City Drug Store of Hazlehurst, Inc. (Rose's Super Discount Drugs)
• Compassionate Care Hospice LLC
• Compassionate Cares
• Compassionate Cares Home Health and Hospice
• Olexous L Cooper
• Copiah County Medical Center
• Copiah County Medical Center (Hazlehurst Clinic)
• Copiah County Medical Center
• Copiah County Medical Center (CCMC Hazlehurst Rural Health Clinic)

• Pharmacy in Hazlehurst, MS
• Providers in Hazlehurst, MS by specialty
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.