Organization Active NPI

Russell's Mr Discount Drugs Inc

  • Durable Medical Equipment & Medical Supplies
  • Lexington, MS
National Provider Identifier
1972648236
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R06886 Issued in MS
Legal business name
RUSSELL'S MR DISCOUNT DRUGS INC
Practice address
334 Depot St
Lexington, MS 39095-3607
Phone
(662) 834-0666
Fax
(662) 834-0681
NPI assigned
Feb 21, 2007
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Mr. William Bruce Russell, RPH
Title
Owner Pharmacist
Phone
(662) 834-1154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R06886 MS Primary

Addresses

Primary practice location

334 Depot St
Lexington, MS 39095-3607

Mailing address

334 Depot St
Lexington, MS 39095-3607
Phone (662) 834-0666

Other identifiers 1

IdentifierTypeStateIssuer
00440519MedicaidMS

National Provider Directory

National Provider Directory

Locations

334 Depot St
Lexington, MS 39095
Phone (662) 834-0666

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1972648236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 DEPOT ST",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953607",
            "telephone_number": "662-834-0666",
            "fax_number": "662-834-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 DEPOT ST",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953607",
            "telephone_number": "662-834-0666",
            "fax_number": "662-834-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL'S MR DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "662-834-1154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "R06886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440519",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.