Troy Donald Douglas, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

E8003 Issued in MS

Practice address

218 Caldwell Dr
Hazlehurst, MS 39083-2712

Phone

(601) 894-1222

Fax

(601) 894-1522

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Drug Store of Hazlehurst, Inc.

  dba Rose's Super Discount Drugs

  • Community/Retail Pharmacy
  • Hazlehurst, MS
  • NPI 1467532663
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962623371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 FAIRVIEW CV",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392729108",
            "telephone_number": "601-371-8471",
            "fax_number": "601-894-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832712",
            "telephone_number": "601-894-1222",
            "fax_number": "601-894-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "TROY",
        "middle_name": "DONALD",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E8003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Copiah County Medical Center (CCMC Hazlehurst Rural Health Clinic)
• Copiah County Medical Center
• Copiah County Medical Center
• Copiah Family Dentistry (Carl Anthony Boykin, DMD)
• Jazmin Corley, M.A
• Jason Downard
• Clay Eckerson
• George E Ellis, D.M.D.
• Family Wellness & Chiropractic
• Fast Pace Mississippi, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.