POLKS CROSSGATES DISCOUNT DRUGS INC NPI 1932138872

NPI Information

  • NPI: 1932138872
  • Provider Name: POLKS CROSSGATES DISCOUNT DRUGS INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 1866 SPILLWAY RD
    BRANDON, MS
    ZIP 39047
  • Phone: (601) 992-4466

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NPI Details

POLKS CROSSGATES DISCOUNT DRUGS INC is a community/retail pharmacy pharmacy in Brandon, MS. The provider is 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. POLKS CROSSGATES DISCOUNT DRUGS INC NPI is 1932138872. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

1866 SPILLWAY RD
BRANDON, MS
ZIP 39047-063
Phone: (601) 992-4466
Fax: (601) 992-4415

The provider's authorized official is Andrew L Hubbard .
The authorized official title is Manger and has the following contact phone number (601) 992-4450.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 7/2/2006 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist02279MISSISSIPPINo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10030406MEDICAIDMISSISSIPPI
201402218MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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