NPIMap

Organization Active NPI

Booneville Community Pharmacy of Ms Inc.

  • Long Term Care Pharmacy
  • Booneville, MS
National Provider Identifier
1972150472
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BOONEVILLE COMMUNITY PHARMACY OF MS INC.
Practice address
206 N 2ND St
Booneville, MS 38829-2702
Phone
(662) 728-1951
NPI assigned
Aug 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Tony Smith
Title
Owner
Phone
(901) 831-8669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

206 N 2ND St
Booneville, MS 38829-2702

Mailing address

206 N 2ND St
Booneville, MS 38829-2702

National Provider Directory

National Provider Directory
Tax ID family
Booneville Community Pharmacy of Msinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1972150472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388292702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388292702",
            "telephone_number": "662-728-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE COMMUNITY PHARMACY OF MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-831-8669"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.