Active NPI
Russell's Mr Discount Drugs Inc
- Durable Medical Equipment & Medical Supplies
- Lexington, MS
National Provider Identifier
1972648236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- R06886
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440519 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.