Mr Joe Ray Bourn Sr, RPH - Pharmacist in Coffeeville, MS

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Mr Joe Ray Bourn Sr, RPH is a Pharmacist based in Coffeeville, Mississippi. Mr Joe Ray Bourn Sr is licensed to practice in Mississippi (license number E5330) and his current practice location is 31 Front St, Coffeeville, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 675-2775.

NPI number for Mr Joe Ray Bourn Sr is 1033258264 and his current mailing address is Po Box 279, Coffeeville, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033258264.

Contact Information

Mr Joe Ray Bourn Sr, RPH
31 Front St,
Coffeeville, MS 38922
(662) 675-2775
(662) 675-8477

Map and Direction


Healthcare Provider's Profile

Full NameMr Joe Ray Bourn Sr
GenderMale
SpecialityPharmacist
Location31 Front St, Coffeeville, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033258264
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Joe Ray Bourn Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033258264NPI-NPPES
2502880OtherNABP # FED
0093220MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist E5330 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Joe Ray Bourn Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Joe Ray Bourn Sr, RPH
Po Box 279,
Coffeeville, MS 38922

Ph: (662) 675-2775		Mr Joe Ray Bourn Sr, RPH
31 Front St,
Coffeeville, MS 38922

Ph: (662) 675-2775

Reviews and Comments


Pharmacist in Coffeeville, MS


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.