K & B MISSISSIPPI CORP (NPI# 1295844686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295844686 |
| Entity Type | Organization |
| Organization Name | K & B MISSISSIPPI CORP |
| Other Organization Name | RITE AID PHARMACY 07226 |
| Practice Address |
4031 Popps Ferry Road Suite A Diberville MS 39540-2367 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 2283927310 |
| 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 | 00330398 | 05 | |
| MS | MEDICAID DME | 0440719 | 01 |
| OTHER ID NUMBER COMMERCIAL NUMBER | 2513150 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid Pharmacy 07226 | 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 |
| 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 |
| 1912016403 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 200 West Railroad Street, Suite B, Long Beach, MS 39560-4517 | 2006-08-29 |
| Street Address |
4031 POPPS FERRY ROAD SUITE A |
| City | DIBERVILLE |
| State | MS |
| Zip Code | 39540-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347531 | Lindsey Rachelle Cuevas | Pharmacist | 10551 D'iberville Blvd, D'iberville, MS 39540 | 2011-08-08 |
| 1750438255 | Andrea L Davis | Dentist | 11505 Cinema Drive, Suite 6, D'iberville, MS 39540 | 2007-01-05 |
| 1750308250 | South Mississippi Urgent Care | Clinic/Center | 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 | 2006-07-17 |
| 1568948016 | Courtney Leigh Ponder | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2018-07-18 |
| 1134635360 | Southern Regional Chiropractic and Rehabilitation Center | Nurse Practitioner | 11505 Cinema Dr Ste 7, Diberville, MS 39540 | 2017-12-26 |
| 1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
| 1891151817 | Total Renal Care Inc | Clinic/Center | 3200 Mallett Rd, Ste F, Diberville, MS 39540 | 2016-01-06 |
| 1679944763 | Katelyn Elizabeth Martin | Behavioral Analyst | 4061 Suzanne Dr, Diberville, MS 39540 | 2015-10-14 |
| 1467880922 | Carla Diane Diffenderfer | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2013-10-21 |
| 1982618369 | Becky F Hollibaugh | Family Medicine | 3920 Promenade Pkwy, Biloxi, MS 39540 | 2006-07-28 |
| Find all providers in zip 39540 | ||||
| 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 |
|---|---|---|---|---|
| 1730311689 | Mississippi Cvs Pharmacy LLC | Pharmacy | 3867 Promenade Pkwy, Diberville, MS 39540-5372 | 2009-08-11 |
| 1285715037 | Back Bay Drugs LLC | Pharmacy | 10437 Lamey Bridge Rd, Suite A, Diberville, MS 39540-2709 | 2006-10-18 |
| 1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
| 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 | DIBERVILLE |
| Zip Code | 39540 |
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.