Polk's Crossgates Discount Drugs Inc., NPI 1013925122
Pharmacy in Jackson, MS, US

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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
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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

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

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.

Other Organization Name

PMO PHARMACY MANAGENMENT
Doing Business As

Business Address

Polk's Crossgates Discount Drugs Inc.
319 Cross Park Dr

Jackson, MS, US

Phone: 601-420-5150
Fax: 601-420-5502

Mailing Address

Polk's Crossgates Discount Drugs Inc.
319 Crosspark Dr
Jackson, MS, US
ZIP 39208
Phone: 601-420-5150
Fax: 601-420-5502

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

183700000X

Pharmacy Service Providers

Pharmacy Technician

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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NPI Name Taxonomy Address

1225531486

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IDD WAIVER SERVICES Michael Mcdonald

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IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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