Organization
CDS HOME CARE, INC
Active
Other names
CDS Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REAGAN LINDSAY BROWN RPH (PHARMACIST)
(601) 892-9988
Entity
Organization
Contact information
Practice address
119 BOBO DR, CRYSTAL SPRINGS, MS 39059
(601) 892-9988
(601) 892-9983
Mailing address
119 BOBO DR, CRYSTAL SPRINGS, MS 39059
(601) 892-9988
(601) 892-9983
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
04960/02.2
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330598
—
MS
05
—
00440693
—
MS
01
—
2520395
NCPDP NUMBER
MS
Enumeration date
02/23/2006
Last updated
09/11/2025
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