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MS STATE DEPARTMENT OF HEALTH PHARMACY NPI 1043434939


NPI Information

NPI: 1043434939
Provider Name: MS STATE DEPARTMENT OF HEALTH PHARMACY
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3156 LAWSON STREET
JACKSON, MS
ZIP 39213
Phone: (601) 713-3457
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MS STATE DEPARTMENT OF HEALTH PHARMACY is a long term care pharmacy pharmacy in Jackson, MS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MS STATE DEPARTMENT OF HEALTH PHARMACY NPI is 1043434939. The provider is registered as an organization entity type.

The provider's business location address is:

3156 LAWSON STREET
JACKSON, MS
ZIP 39213
Phone: (601) 713-3457
Fax: (601) 364-2670

The provider's authorized official is Margaret Mcchesney Pearson .
The authorized official title is Director Of Pharmacy and has the following contact phone number (601) 713-3457.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 1/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or Welfare01085 05.1MISSISSIPPINo
23336L0003XPharmacyLong Term Care PharmacyYes
33336M0002XPharmacyMail Order Pharmacy0108505.1MISSISSIPPINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100090492MEDICAIDMISSISSIPPI
22587092OTHERNCPDP
390492MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.