K & B MISSISSIPPI CORP (NPI# 1750490140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750490140 |
| Entity Type | Organization |
| Organization Name | K & B MISSISSIPPI CORP |
| Other Organization Name | RITE AID PHARMACY 07221 |
| Practice Address |
100 Highway 42 Petal MS 39465-2881 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 6015452056 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-29 |
| 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 |
|---|---|---|---|
| MS | 00330403 | 05 | |
| MS | MEDICAID DME | 0440714 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid Pharmacy 07221 | 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 |
100 HIGHWAY 42 |
| City | PETAL |
| State | MS |
| Zip Code | 39465-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942419213 | Sarah Lynn Ishee | Pharmacist | 100 Highway 42, Petal, MS 39465-2881 | 2007-05-22 |
| 1942726484 | Kimberly Ann Ainsworth | Pharmacist | 100 Highway 42, Petal, MS 39465-2881 | 2017-08-16 |
| 1811410814 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 Highway 42, Petal, MS 39465-2881 | 2017-07-21 |
| 1386095156 | Pamela Cobb | Pharmacist | 100 Highway 42, Petal, MS 39465-2881 | 2016-06-23 |
| 1609122332 | Stacy Therrell Thrash | Pharmacist | 100 Highway 42, Petal, MS 39465-2881 | 2012-07-31 |
| 1801195698 | Stacy L Lowery | Pharmacist | 100 Highway 42, Petal, MS 39465-2881 | 2011-03-20 |
| 1154620292 | David Ratcliff | Pharmacist | 100 Highway 42, Petal, MS 39465-2881 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055489 | R&p Elite Services, LLC | Private Vehicle | 68 Springfield Rd., Petal, MS 39465 | 2020-02-14 |
| 1003460544 | Hayden White | Pharmacist | 36 Byrd Dr., Petal, MS 39465 | 2019-08-01 |
| 1134612971 | Chandler Mccarley Hawkins | Dentist | 1115 Evelyn Gandy Parkway, Petal, MS 39465 | 2018-06-06 |
| 1881199818 | Lauren O'neal Garner | Nurse Practitioner | 36 Stadium Drive, Petal, MS 39465 | 2018-03-30 |
| 1700036928 | Petal School District | Registered Nurse | 60 Herrington Road, Petal, MS 39465 | 2008-09-24 |
| 1962679043 | Hattiesburg Eye Clinic Pa | Optometrist | 1223 Hwy 42, Ste 140, Petal, MS 39465 | 2008-05-08 |
| 1023228640 | Noal Baxter Cochran | Marriage & Family Therapist | 80 Lakeland Circle, Petal, MS 39465 | 2007-05-23 |
| 1750596938 | James A Nicholson Dds Pa | Dentist | 120 South 28th Avenue, Hattiesburg, MS 39465 | 2007-05-11 |
| 1356563605 | Petal School District | Registered Nurse | 400 Hillcrest Loop, Petal, MS 39465 | 2007-05-03 |
| 1154480804 | Mary E Thomsen | Orthotic Fitter | 173 Cherry Oak Trail, Petal, MS 39465 | 2006-12-08 |
| Find all providers in zip 39465 | ||||
| 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 |
|---|---|---|---|---|
| 1407980493 | Gibsons Pharmacy No3 | Pharmacy | 216 W Central Ave, Petal, MS 39465-2016 | 2007-03-14 |
| 1225166184 | Kipa Inc. Dba Rodgers Family Pharmacy | Pharmacy | 130 W Central Ave, Petal, MS 39465-2314 | 2007-03-01 |
| 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 | ||||
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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.