SERVICE REXALL DRUGS INC (NPI# 1326064130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326064130 |
| Entity Type | Organization |
| Organization Name | SERVICE REXALL DRUGS INC |
| Practice Address |
3069 Simpson Highway 13 Mendenhall MS 39114-3077 |
| Practice Telephone | 6018472323 |
| Practice Fax Number | 6018474199 |
| Mailing Telephone | 6018472323 |
| Mailing Fax Number | 6018474199 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | JOHN WHITE (OWNER) |
| Authorized Official Telephone | 6018472323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
00554 | MS | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00090034 | 05 | |
| MS | 00045106 | 05 | |
| PK | 2043308 | 01 |
| Street Address |
3069 SIMPSON HIGHWAY 13 |
| City | MENDENHALL |
| State | MS |
| Zip Code | 39114-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593553 | Rita Seater Parker | Occupational Therapy Assistant | 925 West Mangum Blvd., Mendenhall, MS 39114 | 2013-08-27 |
| 1740573633 | Sheree Walters | Physical Therapy Assistant | 925 West Mangum Blvd, Mendenhall, MS 39114 | 2011-05-25 |
| 1346300423 | Amnuey M Chiemprabha Md Pa | Surgery | 820 Mangum Ave, Mendenhall, MS 39114 | 2006-12-11 |
| 1982620274 | Family Health Care Clinic, Inc. | Clinic/Center | 401 Main St N, Mendenhall, MS 39114 | 2006-07-13 |
| 1811318942 | Anna Lauren Wallace | Dietitian, Registered | 102 N. Main St., Mendenhall, MS 39114 | 2013-12-16 |
| 1639249568 | Glenn A Brien Sr. | Dentist | 122 Main St, Mendenhall, MS 39114 | 2006-11-08 |
| 1710382619 | Patriot Home Care | Respite Care | 324 Mangum Ave, Mendenhall, MS 39114-3015 | 2014-11-04 |
| 1346606191 | Jaytoria Wilkins | Chore Provider | 324 Mangum Ave, Mendenhall, MS 39114-3015 | 2016-01-09 |
| 1588106553 | 121 Medical Place, Inc | Clinic/Center | 820 Mangum Ave, Mendenhall, MS 39114-3025 | 2016-11-08 |
| 1497737571 | Bedford Care Center of Mendenhall, LLC | Skilled Nursing Facility | 925 Mangum Ave, Mendenhall, MS 39114-3026 | 2005-11-15 |
| Find all providers in zip 39114 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1275143323 | Sartin's Discount Drugs, Inc | Pharmacy | 4300 15th St Ste 1, Gulfport, MS 39501-2524 | 2020-08-04 |
| 1952932212 | Magnolia Drugs Inc | Pharmacy | 1757 Highway 178 W Ste B, Myrtle, MS 38650-9233 | 2020-01-27 |
| 1538717459 | Square Drugs, LLC | Pharmacy | 126 Court Square, Charleston, MS 38921 | 2019-09-04 |
| 1609436674 | Thrift Drugs 2 | Pharmacy | 208 W Presley Blvd Ste B, Mccomb, MS 39648-5524 | 2019-06-20 |
| 1285135954 | Rocky L. Mcgarity, Inc. | Pharmacy | 103 W Frontage Rd Ste A, Lucedale, MS 39452-5836 | 2018-02-27 |
| 1144753823 | Quinn's Family Pharmacy, Inc | Pharmacy | 24944 Hwy 15, Union, MS 39365-1565 | 2017-04-10 |
| 1336520188 | Redimeds Pharmacy, LLC | Pharmacy | 3466 Mccullough Blvd Ste D-2, Belden, MS 38826-9468 | 2015-06-17 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1497133391 | Mississippi Senior Care | Pharmacy | 144 S Thomas St Ste 101-1, Tupelo, MS 38801-5326 | 2015-05-11 |
| 1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
| Find all providers with the same taxonomy | ||||
| City | MENDENHALL |
| Zip Code | 39114 |
Please comment or provide details below to improve the information on SERVICE REXALL DRUGS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.