MACON CITY DRUG STORE, INC. (NPI# 1912104415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912104415 |
| Entity Type | Organization |
| Organization Name | MACON CITY DRUG STORE, INC. |
| Other Organization Name | CITY DRUG STORE |
| Practice Address |
2939 Jefferson St Macon MS 39341-2274 |
| Mailing Address |
Po Box 424 Macon MS 39341-0424 |
| Practice Telephone | 6627265143 |
| Practice Fax Number | 6627265183 |
| Mailing Telephone | 6627265143 |
| Mailing Fax Number | 6627265183 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | MR. WILLIAM J BELL (OWNER) |
| Authorized Official Telephone | 6627265143 |
| Authorized Official Credential | R. PH. |
| Is Organization Subpart | Y |
| Parent Organization Name | MACON CITY DRUG STORE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0012501.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00039888 | 05 | |
| MS | MEDICAID DME # | 00440507 | 01 |
| MS | NABP # | 2505367 | 01 |
| Other Name | Type Code |
|---|---|
| City Drug Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639211121 | Macon City Drug Store, Inc. | Pharmacy | 1556 N Oliver St, Brooksville, MS 39739-4003 | 2007-02-13 |
| 1346273588 | Macon City Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 2939 Jefferson St, Macon, MS 39341-2274 | 2006-07-09 |
| Street Address |
2939 JEFFERSON ST |
| City | MACON |
| State | MS |
| Zip Code | 39341-2274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346273588 | Macon City Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 2939 Jefferson St, Macon, MS 39341-2274 | 2006-07-09 |
| 1952922296 | Kristin Miller Tawater | Pharmacist | 2939 Jefferson St, Macon, MS 39341-2274 | 2020-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
| 1821390949 | Margaret Rice | Counselor | 200 Mlk St W, Macon, MS 39341 | 2010-11-22 |
| 1619109840 | Katisha Gordon | Counselor | 200 Mlk St, Macon, MS 39341 | 2009-08-21 |
| 1912193459 | Crawford Health Clinic, LLC | Clinic/Center | 15865 Highway 14, Macon, MS 39341 | 2007-09-19 |
| 1578680005 | Region Vii Mh Mr Commission | Counselor | 200 Lawerence St, Macon, MS 39341 | 2007-03-22 |
| 1255473906 | Macon Clinical Laboratory, Inc. | Clinical Medical Laboratory | 602 Njefferson Street, Macon, MS 39341 | 2007-02-12 |
| 1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
| 1841216413 | Freds Stores of Tennessee Inc | Pharmacy | 59 Frontage Rd, Macon, MS 39341 | 2006-07-15 |
| 1902844194 | Noxubee General Critical Access Hospital | General Acute Care Hospital | 606 North Jefferson Street, Macon, MS 39341 | 2006-06-02 |
| 1285725838 | Jennifer Yuson Dozier | Nurse Practitioner | 606 North Jefferson Street, Macon, MS 39341 | 2006-09-27 |
| Find all providers in zip 39341 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339954 | Medical Hotspots, Inc | Durable Medical Equipment & Medical Supplies | 4794 Mercer University Dr Ste A, Macon, GA 31210-6220 | 2020-06-05 |
| 1336784966 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5581 Thomaston Rd, Macon, GA 31220-8119 | 2019-11-07 |
| 1942768536 | R-en Inc | Durable Medical Equipment & Medical Supplies | 1140 S Jackson Springs Rd, Macon, GA 31211-1439 | 2019-03-04 |
| 1154894111 | Joshua Joseph Sale | Durable Medical Equipment & Medical Supplies | 555 Poplar St Ste 25, Macon, GA 31201-2741 | 2019-01-02 |
| 1679843825 | Central Georgia Health Ventures, Inc | Durable Medical Equipment & Medical Supplies | 800 1st St Ste 100, Macon, GA 31201-8395 | 2012-01-05 |
| 1023395738 | Shelter Dean | Durable Medical Equipment & Medical Supplies | 3130 Mercer University Dr, Macon, GA 31204-5109 | 2011-11-08 |
| 1164704391 | Sleepmed of Central Georgia | Durable Medical Equipment & Medical Supplies | 606 Cherry St, Suite 440, Macon, GA 31201-2624 | 2011-09-14 |
| 1790063428 | Miller Rexall Drug, Inc. | Durable Medical Equipment & Medical Supplies | 115 Vine Street, Macon, MO 63552-1654 | 2011-07-29 |
| 1073819660 | Atlanta Prosthetics & Orthotics of Macon, LLC | Durable Medical Equipment & Medical Supplies | 869 Walnut Street, Macon, GA 31201 | 2011-01-31 |
| 1437460136 | Diabetic Care Management | Durable Medical Equipment & Medical Supplies | 219 River Hills Rdg, Macon, GA 31211-6339 | 2010-06-28 |
| Find all providers in MACON | ||||
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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.