Organization Active NPI

Pearsons Discount Drugs LLC

  • Community/Retail Pharmacy
  • Houston, MS
National Provider Identifier
1982730974
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1679PH Issued in MS
Legal business name
PEARSONS DISCOUNT DRUGS LLC
Practice address
101 E Washington St
Houston, MS 38851-2225
Phone
(662) 456-2551
Fax
(662) 456-3020
NPI assigned
Feb 26, 2007
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Walter Stephen PearsonNPI 1407939861
Title
Owner/Pharmacist
Phone
(662) 456-2551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1679PH MS Primary

Addresses

Primary practice location

101 E Washington St
Houston, MS 38851-2225

Mailing address

101 E Washington St
Houston, MS 38851-2225
Phone (662) 456-2551

Other identifiers 1

IdentifierTypeStateIssuer
00034747MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210603001987 MS Part B Supplier - Pharmacy 4587072624 Practice locations: Houston, MS

National Provider Directory

National Provider Directory

Locations

101 E Washington St
Houston, MS 38851
Phone (662) 456-2551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1982730974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E WASHINGTON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512225",
            "telephone_number": "662-456-2551",
            "fax_number": "662-456-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WASHINGTON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512225",
            "telephone_number": "662-456-2551",
            "fax_number": "662-456-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSONS DISCOUNT DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "662-456-2551"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "1679PH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00034747",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.