Polk's Crossgates Discount Drugs Inc., NPI 1013925122
Pharmacy in Jackson, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1013925122 |
| NPI Entity Type | Organization |
| Provider Name |
Polk's Crossgates Discount Drugs Inc.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 319 Cross Park Dr, Jackson, MS, US |
| Provider Mailing Address | 319 Crosspark Dr, Jackson, MS, US, 39208 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Kendall Parks Jones JR. |
| Official Position | MANAGER |
| Phone | 601-420-5150 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| Description | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 04134 | MS | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00330604 | MS | MEDICAID | 05 |
| 00440744 | MS | MEDICAID | 05 |
| 1264474 | LA | MEDICAID | 05 |
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