Provider Demographics
NPI:1043421464
Name:K'S DISCOUNT DRUGS
Entity Type:Organization
Organization Name:K'S DISCOUNT DRUGS
Other - Org Name:MEDICINE CABINET OF LAUREL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST -OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYE
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:601-425-0450
Mailing Address - Street 1:30 CIRCLE J DRIVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440
Mailing Address - Country:US
Mailing Address - Phone:601-425-0450
Mailing Address - Fax:601-425-2532
Practice Address - Street 1:30 CIRCLE J DRIVE
Practice Address - Street 2:SUITE #2
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440
Practice Address - Country:US
Practice Address - Phone:601-425-0450
Practice Address - Fax:601-425-2532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS183500000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07333 01.0OtherPERMIT NUMBER
MS01750242Medicaid
MSCS-07333 01.0OtherCONTROLLED SUBSTANCE REG