Byhalia Drug

Primary specialty

PharmacyTaxonomy code 333600000X

License

01322011 Issued in MS

Legal business name

BYHALIA DRUG

Practice address

2438 Church St
Byhalia, MS 38611

Phone

(662) 838-2521

Fax

(662) 838-4151

NPI assigned

Sep 29, 2006

Last updated

Oct 17, 2007By 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

Mr. Edward Hughes McCullough Jr., RPH

Title

Partner Pharmacist

Phone

(662) 838-2521

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1982796546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "38611",
            "telephone_number": "662-838-2521",
            "fax_number": "662-838-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 CHURCH ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "38611",
            "telephone_number": "662-838-2521",
            "fax_number": "662-838-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYHALIA DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "PARTNER PHARMACIST",
        "authorized_official_telephone_number": "662-838-2521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "01322011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00094862",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Bolden, FNP
• Makiyah Dominique Bowens
• Brittney Boyd, DNP, FNP-C
• Chauntay Yvette Bradley, M.D.
• Yvonne Ingram Burns, M.A.
• Byhalia Drug Company LLC
• Byhalia Vision Center LLC
• Lacutlass Sharnise Byno, NP
• Annabelle D. Cabe, M.D.
• Teresa Crockett, FNP

• Pharmacy in Byhalia, MS
• Providers in Byhalia, MS by specialty
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.