Magnolia Drugs Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MAGNOLIA DRUGS INC

Practice address

1757 Highway 178 W Ste B
Myrtle, MS 38650-9233

Phone

(662) 988-7030

Fax

(662) 988-7014

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Martin Crotts, PHARMD

Title

Pharmacist in Charge/Owner

Phone

(662) 988-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magnolia Drugs Doing business as

Locations

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1952932212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 HIGHWAY 178 W STE B",
            "city": "MYRTLE",
            "state": "MS",
            "postal_code": "386509233",
            "telephone_number": "662-988-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 HIGHWAY 178 W STE B",
            "city": "MYRTLE",
            "state": "MS",
            "postal_code": "386509233",
            "telephone_number": "662-988-7030",
            "fax_number": "662-988-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "CROTTS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "662-988-7030",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07726090",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chloe Frazier Boatner, RDN
• April Hancock, MS, RD, LD
• Alyndria Jade Leifheit
• Magnolia Drugs Inc
• Emily Irene Orme Cale, LMFT
• April Denham Robbins, CFNP
• Scott Family Medicine PLLC
• Christy Spencer, RD
• Steele Medical Clinic LLC

• Long Term Care Pharmacy in Myrtle, MS
• Providers in Myrtle, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.