MACON CITY DRUG STORE, INC. (NPI# 1639211121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639211121 |
| Entity Type | Organization |
| Organization Name | MACON CITY DRUG STORE, INC. |
| Other Organization Name | BROOKSVILLE DRUG STORE |
| Practice Address |
1556 N Oliver St Brooksville MS 39739-4003 |
| Mailing Address |
Po Box 312 Brooksville MS 39739-0312 |
| Practice Telephone | 6627385041 |
| Practice Fax Number | 6627385043 |
| Mailing Telephone | 6627385041 |
| Mailing Fax Number | 6627385043 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | MR. WILLIAM J BELL JR. (OWNER) |
| Authorized Official Telephone | 6627385041 |
| Is Organization Subpart | Y |
| Parent Organization Name | MACON CITY DRUG STORE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
06158 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06689871 | 05 |
| Other Name | Type Code |
|---|---|
| Brooksville Drug Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346273588 | Macon City Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 2939 Jefferson St, Macon, MS 39341-2274 | 2006-07-09 |
| 1912104415 | Macon City Drug Store, Inc. | Pharmacy | 2939 Jefferson St, Macon, MS 39341-2274 | 2007-06-28 |
| Street Address |
1556 N OLIVER ST |
| City | BROOKSVILLE |
| State | MS |
| Zip Code | 39739-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750517009 | Brooksville Pharmacy LLC | Pharmacy | 1556 N Oliver St, Brooksville, MS 39739-4003 | 2009-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1083139455 | Williams Care Company | In Home Supportive Care | 3695 Drake Hill Rd, Brooksville, MS 39739 | 2017-08-07 |
| 1396049185 | John D Owings IIi | Pharmacist | 312 North Oliver St., Brooksville, MS 39739 | 2011-01-07 |
| 1417180712 | John C Mason | Pharmacist | 139 North Oliver St., Brooksville, MS 39739 | 2009-09-02 |
| 1669657565 | Noxubee General Critical Access Hospital | Clinic/Center | 139 North Oliver Street, Brooksville, MS 39739 | 2008-01-09 |
| 1023150786 | Brooksville Clinical Laboratory, Inc. | Clinical Medical Laboratory | 139 N Oliver Street, Brooksville, MS 39739 | 2007-02-12 |
| 1609949692 | Kim Willams Truesdale | Nurse Practitioner | 139 North Oliver St, Brooksville, MS 39739 | 2006-11-16 |
| 1710964754 | Charles Larry Mccullouch Jr. | Family Medicine | 1560 North Oliver St., Brooksville, MS 39739 | 2005-12-30 |
| 1104843671 | Freds Stores of Tennessee Inc | Pharmacy | 25 Main Street, Brookesville, MS 39739 | 2006-07-17 |
| 1922171826 | Brooksville Medical Clinic Inc | Clinic/Center | 139 N. Oliver St., Brooksville, MS 39739-0348 | 2006-11-16 |
| Find all providers in zip 39739 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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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| 1033609227 | Ms Lutz LLC | Pharmacy | 16142 Flight Path Dr, Brooksville, FL 34604-6845 | 2018-05-14 |
| 1003321092 | St. Mary and Archangel Michael, LLC | Pharmacy | 12115 Cortez Blvd, Brooksville, FL 34613-5551 | 2017-12-12 |
| 1497209159 | Palmyra Pharmacy LLC | Pharmacy | 13080 Cortez Blvd, Brooksville, FL 34613-4854 | 2016-08-11 |
| 1770036071 | Us Sterile Rx Inc | Pharmacy | 16140 Flight Path Dr, Brooksville, FL 34604-6845 | 2016-08-03 |
| 1558596932 | Pine Brook Pharmacy LLC | Pharmacy | 14482 Cortez Blvd, Brooksville, FL 34613-5975 | 2009-05-28 |
| 1730214826 | Deans Pharmacy Inc | Pharmacy | 109 Locust St, Brooksville, KY 41004 | 2007-02-22 |
| 1447354345 | Holiday Cvs LLC | Pharmacy | 12990 Cortez Blvd, Brooksville, FL 34613-6803 | 2006-09-12 |
| 1588768477 | Holiday Cvs LLC | Pharmacy | 20019 Cortez Blvd, Brooksville, FL 34601-3835 | 2006-09-12 |
| 1164437281 | Walgreen Co | Pharmacy | 20020 Cortez Blvd, Brooksville, FL 34601-3834 | 2006-07-29 |
| 1619534997 | Ultimate Pharmacy LLC | Pharmacy | 636 W Jefferson St, Brooksville, FL 34601-2533 | 2019-05-22 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 39739 |
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| 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.