POLK'S CROSSGATES DISCOUNT DRUGS INC.


Address: 1845 Popps Ferry Road, Biloxi, MS 39532
Phone: 2282070505

POLK'S CROSSGATES DISCOUNT DRUGS INC. (NPI# 1386912483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386912483
Entity Type Organization
Organization Name POLK'S CROSSGATES DISCOUNT DRUGS INC.
Practice Address 1845 Popps Ferry Road
Biloxi
MS 39532
Practice Telephone 2282070505
Practice Fax Number 8775672135
Mailing Telephone 2282070505
Mailing Fax Number 8775672135
Enumeration Date 2011-12-05
Last Update Date 2013-10-21
Authorized Official Name DR. WILLIAM JOSEPH FLYNT (MANAGER)
Authorized Official Telephone 2282070505
Authorized Official Credential PHARM.D.
Is Organization Subpart Y
Parent Organization Name POLK'S CROSSGATES DISCOUNT DRUGS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
F09743 MS Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013925122 Polk's Crossgates Discount Drugs Inc. Pharmacy Technician 319 Cross Park Dr, Jackson, MS 39208-8905 2006-08-04

Office Location

Street Address 1845 POPPS FERRY ROAD
City BILOXI
State MS
Zip Code 39532

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1639552490 Laura O'keefe Nurse Practitioner 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 2015-06-29
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1467842476 Alicia Michelle Mcdaniel Nurse Practitioner 14209 Cook Rd Suite 200, Biloxi, MS 39532 2015-01-28
1437402393 Lisa Q. Brown Occupational Therapist 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 2012-10-17
1962759381 Joshua Shumway Physical Therapist 220 Ploesti Dr, Keesler Afb, MS 39532 2012-08-06
1346566957 Kerri Lyn Manjarrez Social Worker 12304 Tiffany Lane, Biloxi, MS 39532 2010-04-08
1164758116 Annette T. Fertitta Speech-Language Pathologist 16237 Old Woolmarket Road, Biloxi, MS 39532 2009-10-27
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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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NPI Name Taxonomy Address Enumeration
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1104911221 Medical Analysis Pharmacy 250 Beauvoir Rd # B, Suite 5, Biloxi, MS 39531-4026 2006-10-04
1386746923 Woolmarket Pharmacy, Inc. Pharmacy 13066 Highway 67 Ste F, Biloxi, MS 39532-8616 2006-09-03
1669487823 Walgreen Co Pharmacy 2405 Pass Rd, Biloxi, MS 39531-2111 2006-07-29
1134780786 Mino's Pharmacy Inc. Pharmacy 13034 Shriners Blvd Ste A, Biloxi, MS 39532-8250 2019-06-25
1356909089 Lighthouse Pharmacy LLC Pharmacy 2337 Pass Rd Ste D, Biloxi, MS 39531-4000 2019-05-29
1689979585 Burnham-mckinney Pharmacy No 5 LLC Pharmacy 608 Howard Ave, Biloxi, MS 39530-4310 2011-01-24
1750409835 Calverts Drug Store LLC Pharmacy 2561 Pass Rd, Ste A, Biloxi, MS 39531-2125 2007-03-27

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1164038485 Quinn's Family Pharmacy of Newton Pharmacy 193 Northside Dr, Newton, MS 39345-9523 2020-09-22
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1649883844 Natchez Wellness Pharmacy Pharmacy 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 2020-08-26
1952910366 Ct Stamps Inc Pharmacy 206 Marion Avenue, Mccomb, MS 39648 2020-07-31
1114566122 Valley Drugs, Inc. Pharmacy 327b S Main St, Water Valley, MS 38965-3318 2019-12-23
1851939318 Smith Pharmacy, Inc. Pharmacy 306 Northside Drive, Newton, MS 39345 2019-12-16
1285270801 Proxsys Rx - Rush LLC Pharmacy 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 2019-11-19
1518501592 Southwest Pharmacy Inc Pharmacy 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 2019-11-01
1669015210 Hometown Family Pharmacy, Inc. Pharmacy 930 Hall St Ste H, Wiggins, MS 39577-2113 2019-10-25
1225671001 A & A Infusion & Specialty, LLC Pharmacy 124 E Jackson St, Belzoni, MS 39038-3642 2019-10-23
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Competitor

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City BILOXI
Zip Code 39532

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Dataset Information

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.

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