Mosbys Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00235/1.1 Issued in MS

Legal business name

MOSBYS DRUG STORE

Doing business as

Mosby's Drug Store

Practice address

1301 E Peace St
Canton, MS 39046-4937

Phone

(601) 859-4212

Fax

(601) 859-4260

NPI assigned

Oct 13, 2006

Last updated

Nov 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Murphy, ACCOUNTANT

Title

Member/Owner

Phone

(601) 859-3939

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Mosby's Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Tax ID family

Mosby's Drug Store2 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.

• Mosbys Drug Store

  dba Mosby's Drug Store LTC

  • Pharmacist
  • Canton, MS
  • NPI 1003436569
  NPD tax ID

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572739200000",
    "number": "1972693927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EAST PEACE STREET",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "39046",
            "telephone_number": "601-859-3939",
            "fax_number": "601-855-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464937",
            "telephone_number": "601-859-4212",
            "fax_number": "601-859-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSBYS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-11-03",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "601-859-3939",
        "authorized_official_credential": "ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00235/1.1",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000033316",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosby's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mosby's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Morgan, DDS
• Kasie Morris
• Rose Maria Morris, NP
• Valerie Baughn Morris, FNP-C
• Mosbys Drug Store (Mosby's Drug Store LTC)
• Ruby Moy, M.D.
• New Beginnings Family Healthcare, PLLC
• Ada Newson
• Sara Linda Noble, PHARMD
• Sally R Norman

• Community/Retail Pharmacy in Canton, MS
• Providers in Canton, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.