RANDYS HOUSE OF MEDICINE (NPI# 1689708133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689708133 |
| Entity Type | Organization |
| Organization Name | RANDYS HOUSE OF MEDICINE |
| Practice Address |
305 Front St Taylorsville MS 39168-0818 |
| Mailing Address |
Po Box 818 Taylorsville MS 39168-0818 |
| Practice Telephone | 6017856812 |
| Practice Fax Number | 6017854993 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANE WYATT (OWNER) |
| Authorized Official Telephone | 6017856812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 01523 | MS | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0030655 | 05 | |
| MS | 00040383 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2515382 | 01 |
| Street Address |
305 FRONT ST |
| City | TAYLORSVILLE |
| State | MS |
| Zip Code | 39168-0818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780714386 | Randy's House of Medicine | Durable Medical Equipment & Medical Supplies | 305 Front St, Taylorsville, MS 39168 | 2007-03-06 |
| 1730200114 | Freds Xpress | Pharmacy | 305 Front St, Taylorsville, MS 39168-0818 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114248010 | Family Health Care Clinic, Inc | Clinic/Center | 122 W Magnolia Ln, Taylorsville, MS 39168 | 2010-06-15 |
| 1891020509 | Vera Denise Kennedy-miller | Massage Therapist | 968 Scr 7, Taylorsville, MS 39168 | 2009-10-14 |
| 1710110374 | Family Health Care Clinic, Inc | Clinic/Center | 213 South County Road, 10 B, Taylorsville, MS 39168 | 2009-08-31 |
| 1205011608 | Dental Professionals of Mississippi, P.C. | Dentist | 411 Willis St, Taylorsville, MS 39168 | 2008-01-03 |
| 1154502979 | Family Health Center, Inc | Specialist | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2007-11-20 |
| 1689705253 | Stephen Grant Nichols | Physical Therapist | 140 Eureka Street, Taylorsville, MS 39168 | 2007-03-08 |
| 1881773877 | Diane Wyatt | Pharmacist | 305 Front Street, Taylorsville, MS 39168 | 2006-11-02 |
| 1558458885 | John R. Harper | Family Medicine | 105 Eaton Street, Taylorsville, MS 39168 | 2006-10-06 |
| 1912015298 | Carolyn Ann Schrader | Nurse Practitioner | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2006-08-28 |
| 1871888271 | Magee Benevolent Association | Family Medicine | 105 Eaton Street, Taylorsville, MS 39168 | 2011-06-14 |
| Find all providers in zip 39168 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093130031 | Ihc Health Services Inc | Pharmacy | 4393 S Riverboat Rd Ste 101, Taylorsville, UT 84123-2503 | 2014-02-27 |
| 1578613899 | Lewis M Ferguson | Pharmacy | 92 Main Avenue Dr, Taylorsville, NC 28681-2383 | 2007-01-11 |
| 1346263324 | Scpg Kentucky LLC | Pharmacy | 847 Taylorsville Rd, Taylorsville, KY 40071 | 2006-07-25 |
| 1598700718 | Northwestern Drug Co Inc | Pharmacy | 53 E Main Ave, Taylorsville, NC 28681-2540 | 2006-06-19 |
| 1699882852 | Ihc Health Services Inc | Pharmacy | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973067 | Thomas Street Compounding Pharmacy | Pharmacy | 115 N Thomas St Ste G, Tupelo, MS 38801-3082 | 2020-05-18 |
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1356997985 | Sonshine Pharmacy, LLC | Pharmacy | 2745 Highway 371 N, Mantachie, MS 38855 | 2019-08-09 |
| 1699331868 | Fulton Specialty Pharmacy, LLC | Pharmacy | 1509 S Adams St Ste D, Fulton, MS 38843-6621 | 2019-05-14 |
| 1063971539 | National Pharmacy of Mississippi, LLC | Pharmacy | 371b Highland Colony Pkwy, Ridgeland, MS 39157-6035 | 2019-03-14 |
| 1811468952 | Davidson Pharmacy, LLC | Pharmacy | 203a N 2nd St, Booneville, MS 38829-2701 | 2018-12-16 |
| 1346710720 | Tupelo Specialty Pharmacy, LLC | Pharmacy | 1056 Cliff Gookin Blvd Ste C, Tupelo, MS 38801-6458 | 2018-11-28 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1306325402 | Family Drug Mart of Poplarville,llc | Pharmacy | 100 Highway 11 N, Poplarville, MS 39470-2217 | 2018-08-09 |
| 1851883789 | Amory Discount Pharmacy, LLC | Pharmacy | 60379 Cotton Gin Port Rd Ste B, Amory, MS 38821-7204 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 39168 |
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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.