# CDS HOME CARE, INC.

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

## Provider details

- **NPI number:** 1902871809
- **Authorized official:** MR. REAGAN L BROWN RPH (PHARMACIST)
- **Authorized official phone:** (601) 883-2999

## Contact information

- **Practice address:** 1911 MISSION 66, SUITE H, VICKSBURG, MS 39180-3762
- **Practice address phone:** (601) 883-2999
- **Practice address fax:** (601) 883-2877
- **Mailing address:** 1911 MISSION 66, SUITE H, VICKSBURG, MS 39180-3762
- **Mailing address phone:** (601) 883-2999
- **Mailing address fax:** (601) 883-2877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 05542/02.2 | MS | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 05542/02.2 | MS | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 05542/02.2 | MS | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | 05542/02.2 | MS | — |
| 3336L0003X | Long Term Care Pharmacy | 05542/02.2 | MS | — |
| 3336S0011X | Specialty Pharmacy | — | MS | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330687 | — | MS |
| 05 | — | 00440953 | — | MS |
| 01 | — | 2521652 | NCPDP | MS |