Organization
CDS HOME CARE, INC.
Active
Other names
CDS Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REAGAN L BROWN RPH (PHARMACIST)
(601) 883-2999
Entity
Organization
Contact information
Practice address
1911 MISSION 66, SUITE H, VICKSBURG, MS 39180-3762
(601) 883-2999
(601) 883-2877
Mailing address
1911 MISSION 66, SUITE H, VICKSBURG, MS 39180-3762
(601) 883-2999
(601) 883-2877
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330687
—
MS
05
—
00440953
—
MS
01
—
2521652
NCPDP
MS
Enumeration date
02/22/2006
Last updated
09/11/2025
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