# CDS HOME CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CDS Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225004948
- **Authorized official:** MR. REAGAN LINDSAY BROWN RPH (PHARMACIST)
- **Authorized official phone:** (601) 892-9988

## Contact information

- **Practice address:** 119 BOBO DR, CRYSTAL SPRINGS, MS 39059
- **Practice address phone:** (601) 892-9988
- **Practice address fax:** (601) 892-9983
- **Mailing address:** 119 BOBO DR, CRYSTAL SPRINGS, MS 39059
- **Mailing address phone:** (601) 892-9988
- **Mailing address fax:** (601) 892-9983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 04960/02.2 | MS | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 04960/02.2 | MS | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 04960/02.2 | MS | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | 04960/02.2 | MS | — |
| 3336L0003X | Long Term Care Pharmacy | 04960/02.2 | MS | — |
| 3336S0011X | Specialty Pharmacy | 04960/02.2 | MS | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330598 | — | MS |
| 05 | — | 00440693 | — | MS |
| 01 | — | 2520395 | NCPDP NUMBER | MS |