1. Home
  2. Directory
  3. Mississippi
  4. Crystal Springs
  5. Pharmacy
  6. NPI Profile

CITY DRUG, LLC
NPI 1225504269
Pharmacy - Community/Retail Pharmacy in Crystal Springs, MS

Active since October 17, 2018CLIA 25D0951621 · Waiver
113 BO BO DR, CRYSTAL SPRINGS, MS 39059(601) 892-4121(601) 892-1598 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2019, Jan 31, 2019, Oct 17, 2018 (3 updates tracked since 2018).

About City Drug, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY DRUG, LLC (NPI 1225504269) is a healthcare organization registered as a community/retail pharmacy in Crystal Springs, Mississippi and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists Reagan Lindsay Brown, Member, as its authorized official.

NPPES Registry Identity

NPI1225504269
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCITY DRUG, LLC
Location Address113 BO BO DRCrystal Springs, MS 39059-2741
Mailing AddressPo Box 193Crystal Springs, MS 39059-0193 · (601) 892-4121 · Fax (601) 892-1598
Phone(601) 892-4121
Fax(601) 892-1598
Organization SubpartNo
Authorized OfficialReagan Lindsay BrownMember · (601) 892-4121
Enumeration DateOctober 17, 2018
Last NPPES UpdateFebruary 27, 20193 updates tracked since enumeration
✔ NPI 1225504269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
113 BO BO DR, Crystal Springs, MS 39059
Open in Google Maps ↗

Other Identifiers 1

Medicaid00030165MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0951621

City Drug Pharmacy And Gifts · Crystal Springs, MS
Active · expires Apr 29, 2027
CLIA Number25D0951621
Laboratory TypePharmacy
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorReagan L. Brown
Laboratory Phone(601) 892-4121
Laboratory LocationCity Drug Pharmacy And Gifts113 Bobo Drive, Crystal Springs, MS 39059
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
91 services90 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
87 services86 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories City Drug Pharmacy And Gifts carries, from the Medicare DMEPOS supplier directory.

City Drug Pharmacy And Gifts

DMEPOS supplier · Crystal Springs, MSOperated by City Drug LLC
⋮

Does not accept Medicare assignment

City Drug Pharmacy And Gifts has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20453057
Medicare Participant SinceOctober 15, 2018
Supplier Location113 Bo Bo DrCrystal Springs, MS 39059
Phone(601) 892-4121
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY L MCGUIRE RPH
Pharmacist
113 BO BO DR
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-4121
CITY DRUGS OF CRYSTAL SPRINGS, INC.
Pharmacy (Community/Retail Pharmacy)
113 BO BO DR
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-4121
EMILY-KATE CARTER PHARMD
Pharmacist
113 BO BO DR
CRYSTAL SPRINGS, MS 39059
Copiah County (985) 507-2272
REAGAN BROWN
Pharmacist
113 BO BO DR
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-4121
TYLER LEE HENDRIX PHARM D
Pharmacist
113 BO BO DR
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-4121
MADELINE CARTER
Pharmacist
113 BO BO DR
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-4121
DR. DONALD LONZO COMFORT II PHARMD
Pharmacist
113 BO BO DR
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-4121
WILLIAM T WALKER RPH
Pharmacist
113 BO BO DR
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-4121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Drug, LLC's NPI number?

The NPI number for City Drug, LLC is 1225504269. It was assigned to this organization in the NPPES registry on October 17, 2018.

Where is City Drug, LLC located?

City Drug, LLC is located at 113 Bo Bo Dr, Crystal Springs, MS 39059. The listed phone number is (601) 892-4121.

What is City Drug, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does City Drug, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, City Drug Pharmacy And Gifts does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does City Drug, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0951621) is associated with this NPI, valid through April 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does City Drug, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 other insurers list City Drug, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for City Drug, LLC was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.