CANOVAS CITY DRUG STORE (NPI# 1831231851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831231851 |
| Entity Type | Organization |
| Organization Name | CANOVAS CITY DRUG STORE |
| Other Organization Name | CITY DRUG STORE |
| Practice Address |
616 Main St Woodville MS 39669-9706 |
| Mailing Address |
Po Box 486 Woodville MS 39669-0486 |
| Practice Telephone | 6018883333 |
| Practice Fax Number | 6018886336 |
| Mailing Telephone | 6018883333 |
| Mailing Fax Number | 6018886336 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | CHARLES CONOVA (PRESIDENT) |
| Authorized Official Telephone | 6018883333 |
| 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 |
01762/1.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2043600 | 01 | |
| LA | 1250686 | 05 | |
| MS | 00030063 | 05 |
| Other Name | Type Code |
|---|---|
| CITY DRUG STORE | Doing Business As Name - Organization |
| Street Address |
616 MAIN ST |
| City | WOODVILLE |
| State | MS |
| Zip Code | 39669-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607393 | Granger LLC | Non-emergency Medical Transport (VAN) | 16 Flower Ln, Woodville, MS 39669 | 2018-07-31 |
| 1427576743 | Roslyn Jill Smith | Pharmacist | 211 Hwy 61 South, Woodville, MS 39669 | 2017-09-07 |
| 1386176055 | Lashonda Tolliver | Counselor | 64 Tolliver Ln, Woodville, MS 39669 | 2017-03-31 |
| 1548660954 | Alicia Freeman Randall | Social Worker | 2045 Hwy 24 East, Woodville, MS 39669 | 2014-09-04 |
| 1659796340 | Caring 4 You Adult Daycare Center, LLC | Respite Care | 1580 Highway 24 West, Woodville, MS 39669 | 2014-03-04 |
| 1720211386 | Family Health Care Clinic, Inc. | Clinic/Center | 1823 Highway 24 West, Woodville, MS 39669 | 2009-08-31 |
| 1336381946 | Family Health Care Clinic, Inc. | Clinic/Center | 1495 Us Highway 61 S, Woodville, MS 39669 | 2009-03-27 |
| 1306052238 | Don Harvey Cummings | Pharmacist | 179 Boston Row, Woodville, MS 39669 | 2007-05-15 |
| 1053415190 | Mckenzie Healthcare Solutions | Durable Medical Equipment & Medical Supplies | 751 Main Street, Woodville, MS 39669 | 2006-09-11 |
| 1750313797 | Freds Stores of Tennessee Inc | Pharmacy | 211 U.S. Hwy 61 South, Woodville, MS 39669 | 2006-07-07 |
| Find all providers in zip 39669 | ||||
| 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 |
|---|---|---|---|---|
| 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.