K & B MISSISSIPPI CORP (NPI# 1659387959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659387959 |
| Entity Type | Organization |
| Organization Name | K & B MISSISSIPPI CORP |
| Other Organization Name | RITE AID PHARMACY 07230 |
| Practice Address |
820 Brookway Boulevard Brookhaven MS 39601-2642 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 6018352415 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER COMMERCIAL NUMBER | 2510774 | 01 | |
| MS | 00330394 | 05 | |
| MS | MEDICAID DME | 0440724 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid Pharmacy 07230 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447445671 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 360 Beach Drive, Gulfport, MS 39507-1208 | 2007-09-11 |
| 1922117316 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 984 Main Street, Southaven, MS 38671-1509 | 2006-08-29 |
| 1487763876 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 4400 Hardy Street, Hattiesburg, MS 39401-2254 | 2006-08-29 |
| 1730298225 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 5916 Us Highway 49, Hattiesburg, MS 39401-7577 | 2006-08-29 |
| 1013026400 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 3046 Indiana Avenue, Vicksburg, MS 39180-5252 | 2006-08-29 |
| 1821107319 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 1703 Delaware Avenue, Mccomb, MS 39648-3611 | 2006-08-29 |
| 1104935592 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 6075 Old Canton Road, Jackson, MS 39211-3335 | 2006-08-29 |
| 1295844686 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 4031 Popps Ferry Road, Suite A, Diberville, MS 39540-2367 | 2006-08-29 |
| 1841309234 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 114 East Mcdowell Road, Jackson, MS 39204-5718 | 2006-08-29 |
| 1376652867 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 416 Memorial Boulevard, Picayune, MS 39466-5544 | 2006-08-29 |
| Street Address |
820 BROOKWAY BOULEVARD |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114047081 | Bakers Pharmacy Inc | Pharmacy | 212 N Jackson St, Brookhaven, MS 39601-3040 | 2007-04-02 |
| 1689771453 | Pathmark Stores Inc | Pharmacy | 5005 Edgmont Ave, Brookhaven, PA 19015-1202 | 2006-09-20 |
| 1093720252 | Walgreen Co | Pharmacy | 719 Brookway Blvd, Brookhaven, MS 39601-2639 | 2006-07-29 |
| 1942687116 | Freedom Pharmacy LLC | Pharmacy | 3605 Edgmont Ave, Building B, Brookhaven, PA 19015-2807 | 2015-04-27 |
| 1245554559 | Clint's Pharmacy Inc | Pharmacy | 515 Brookway Blvd, Brookhaven, MS 39601-3266 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on K & B MISSISSIPPI CORP.
| 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.