SOUTHERN DRUGS, INC (NPI# 1790882413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790882413 |
| Entity Type | Organization |
| Organization Name | SOUTHERN DRUGS, INC |
| Other Organization Name | SOUTHERN DRUG STORE |
| Practice Address |
1202 Main St Columbus MS 39701-5833 |
| Practice Telephone | 6623280833 |
| Practice Fax Number | 6623286633 |
| Mailing Telephone | 6623280833 |
| Mailing Fax Number | 6623286633 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES E GABLE (VICE PRESIDENT/PHARMACIST) |
| Authorized Official Telephone | 6623280833 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-06040 | MS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00030055 | 05 | |
| MS | NCPDP | 2500230 | 01 |
| Other Name | Type Code |
|---|---|
| Southern Drug Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528165248 | Southern Drugs, Inc | Pharmacist | 3654 New Hope Rd, Columbus, MS 39702-8521 | 2006-09-17 |
| Street Address |
1202 MAIN ST |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39701-5833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396141149 | James Gable | Pharmacist | 1202 Main St, Columbus, MS 39701-5833 | 2014-11-06 |
| 1598916801 | Dutch Pharmacies Inc | Pharmacy | 1202 Main St, Columbus, MS 39701-5833 | 2008-10-06 |
| 1093741050 | Southern Sickroom Supply | Durable Medical Equipment & Medical Supplies | 1202 Main St, Columbus, MS 39701-5833 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370828 | Southern Hospitality Transportation | Non-emergency Medical Transport (VAN) | 702 #1 Hwy 45 North, Columbus, MS 39701 | 2019-01-14 |
| 1457844466 | Red 2 Black Consulting, LLC | Nurse Practitioner | 68 Brickerton St, Columbus, MS 39701 | 2018-06-13 |
| 1194134478 | John Wesley Conn | Counselor | 1001 Maint St, Columbus, MS 39701 | 2014-08-12 |
| 1902109903 | Jeffrey Wayne Carter | Contractor | 1809 7th Avenue North, Columbus, MS 39701 | 2010-12-13 |
| 1215193933 | The Clinic At Elm Lake, P.a. | Legal Medicine | 3700 N Frontage Rd, Columbus, MS 39701 | 2008-08-01 |
| 1134322886 | Johanna R Price | Speech-Language Pathologist | 1100 College Street Muw 1340, Columbus, MS 39701 | 2007-06-08 |
| 1396952057 | Roland Franklin Colom | Dentist | 907 Military Rd, Columbus, MS 39701 | 2007-05-16 |
| 1821142902 | Bob W Meek | Counselor | 200 6th St North, Suite 401, Columbus, MS 39701 | 2007-01-23 |
| 1447324173 | Tolley Valerie | Durable Medical Equipment & Medical Supplies | 818 2nd Ave North, Columbus, MS 39701 | 2006-11-17 |
| 1548347081 | Kimberly Mullin | Counselor | 700 10th Ave South, Columbus, MS 39701 | 2006-11-01 |
| Find all providers in zip 39701 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1225663602 | Farzaneh Gyurcsik | Pharmacist | 2826 Doncaster Rd, Columbus, OH 43221-3034 | 2020-03-06 |
| 1396386421 | Erin Petersen | Pharmacist | 3535 Olentangy River Rd Ste Y1322, Columbus, OH 43214-3908 | 2019-09-30 |
| 1659927945 | Nicholas D Keller | Pharmacist | 181 Taylor Ave Ste Tg135, Columbus, OH 43203-1779 | 2019-08-13 |
| 1942854005 | Eric Obeng | Pharmacist | 2575 S Hamilton Rd, Columbus, OH 43232-4964 | 2019-07-27 |
| 1518421015 | Andrew Carlisle Milner | Pharmacist | 5445 N. High St, Columbus, OH 43214-1129 | 2019-01-29 |
| 1598247371 | Alyssa Marie Gaietto | Pharmacist | 460 W 10th Ave Rm C150d, Columbus, OH 43210-1240 | 2018-08-29 |
| 1851879209 | Lauren R. Vergara | Pharmacist | 410 W 10th Avenue, 368 Doan Hall, Columbus, OH 43215-2447 | 2018-07-29 |
| 1992282081 | Ali Mohamed | Pharmacist | 3949 Hoffman Valley Dr, Columbus, OH 43219-8111 | 2018-07-23 |
| 1417433467 | Jon Theodore Mcclymont | Pharmacist | 1599 Alum Creek Dr, Columbus, OH 43209-2596 | 2018-07-12 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on SOUTHERN DRUGS, INC.
| 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.