POLK'S CROSSGATE DISCOUNT DRUGS INC. (NPI# 1518997410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518997410 |
| Entity Type | Organization |
| Organization Name | POLK'S CROSSGATE DISCOUNT DRUGS INC. |
| Other Organization Name | POLK'S DISCOUNT DRUGS #5 |
| Practice Address |
1201 Highway 49 S Ste 2 Richland MS 39218-9425 |
| Mailing Address |
Po Box 180038 Richland MS 39218-0038 |
| Practice Telephone | 6019328609 |
| Practice Fax Number | 6019330024 |
| Mailing Telephone | 6019328609 |
| Mailing Fax Number | 6019330024 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | RONALD SKELTON (MANAGER) |
| Authorized Official Telephone | 6019328609 |
| Authorized Official Credential | B.S. PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
F02384 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00330041 | 05 | |
| PK | 2045389 | 01 |
| Other Name | Type Code |
|---|---|
| POLK'S DISCOUNT DRUGS #5 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306097902 | Polk's Crossgate Discount Drugs Inc. | Pharmacy | 1031 Star Rd, Brandon, MS 39042-9010 | 2008-10-02 |
| 1407872666 | Polk's Crossgate Discount Drugs Inc. | Pharmacy | 3119 Wesley Way Ste 6, Ste 6, Dothan, AL 36305-2000 | 2006-07-14 |
| 1932138872 | Polk's Crossgate Discount Drugs Inc. | Pharmacy | 1866 Spillway Rd, Brandon, MS 39047-6063 | 2006-07-02 |
| Street Address |
1201 HIGHWAY 49 S STE 2 |
| City | RICHLAND |
| State | MS |
| Zip Code | 39218-9425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871564229 | Chad Richard Espeland | Chiropractor | 1201 Highway 49 S, Suite 34, Richland, MS 39218-9438 | 2006-02-01 |
| 1215478730 | Medical Foundation of Central Ms Inc | Family Medicine | 1201 Highway 49 S, Suite 1, Richland, MS 39218-9425 | 2017-03-16 |
| 1700326915 | Ann Turner Selman | Speech-Language Pathologist | 1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 | 2017-03-07 |
| 1679026496 | Hillary Leanne Hutto | Physical Therapist | 1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 | 2016-07-28 |
| 1760835672 | Hannah Peagler Howard | Occupational Therapist | 1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 | 2016-07-15 |
| 1164893921 | Angela Slater | Nurse Practitioner | 1201 Highway 49 S, Suite 4, Richland, MS 39218-9425 | 2015-10-19 |
| 1780054072 | Drayer Physical Therapy Jackson LLC | Physical Therapist | 1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 | 2015-09-30 |
| 1720455439 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 | 2015-08-28 |
| 1083008171 | Margaret Sloan Tranum Sanders | Physical Therapist | 1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 | 2015-03-26 |
| 1942690490 | Tyler Smith | Specialist | 1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 | 2015-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353290 | Ashley Smith Allen | Nurse Practitioner | Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 | 2020-07-07 |
| 1346590460 | Medical Systems Management LLC | Clinic/Center | 120 Sarborough St, Suite A, Richland, MS 39218 | 2012-09-17 |
| 1487801338 | Teresa Polk | Family Medicine | 811 Highway 49 South, Richland, MS 39218 | 2008-08-22 |
| 1629238530 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 181 Davis Johnson Dr., Suite G, Richland, MS 39218 | 2008-06-13 |
| 1710177688 | Wiley Vision Care LLC | Optometrist | 200 Market Place Dr, Richland, MS 39218 | 2007-07-27 |
| 1821292731 | Tara Pharmacy | Pharmacy | 110 Metroplex Blvd, Suite H, Pearl, MS 39218 | 2007-06-13 |
| 1881797439 | Don A Gibson | Family Medicine | 811 Hwy 49 South, Richland, MS 39218 | 2006-09-07 |
| 1912914516 | Renalab Inc | Clinical Medical Laboratory | 197 Interstate Drive, Suite G, Richland, MS 39218 | 2006-08-03 |
| 1730667403 | Kasey Ray Hinton | Physical Therapist | 1201 Highway 49 S Ste 2, Richland, MS 39218 | 2018-08-03 |
| 1033693866 | Melodie Carol Brown | Nurse Practitioner | 1201 U.S. 49, Suite 1, Richland, MS 39218-3921 | 2018-09-18 |
| Find all providers in zip 39218 | ||||
| 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] |
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| 1326234329 | Stockstills Pharmacy Inc | Pharmacy | 104 W Mcclurg Ave, Richland, MO 65556 | 2007-09-24 |
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| 1750462636 | Malleys Inc | Pharmacy | 1906 George Washington Way, Richland, WA 99354 | 2006-10-18 |
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| 1114566122 | Valley Drugs, Inc. | Pharmacy | 327b S Main St, Water Valley, MS 38965-3318 | 2019-12-23 |
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| 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 |
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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.