City Drug Store,inc
NPI 1558455907ActiveOrganization· Pharmacist· Hollandale, MS
Pharmacist in Hollandale, Mississippi, registered in NPPES in October 2006. The authorized official on file is Thomas Hassett, Owner. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1558455907 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Sep 19, 2023 |
| Certified by provider | Sep 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 00115/01.1 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (MS) |
|---|
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