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MISSISSIPPI BAPTIST MEDICAL CENTER INC. NPI 1255882890


NPI Information

NPI: 1255882890
Provider Name: MISSISSIPPI BAPTIST MEDICAL CENTER, INC.

Other Name: BAPTIST FAMILY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 25D2237815

Address:
1225 N STATE ST
JACKSON, MS
ZIP 39202
Phone: (601) 968-6350
Get Directions

MISSISSIPPI BAPTIST MEDICAL CENTER, INC. is a community/retail pharmacy pharmacy in Jackson, MS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MISSISSIPPI BAPTIST MEDICAL CENTER, INC. NPI is 1255882890. The provider is registered as an organization entity type.
The provider Other Name Is Baptist Family Pharmacy.

The provider's business location address is:

1225 N STATE ST
JACKSON, MS
ZIP 39202-064
Phone: (601) 968-6350
Fax: (601) 968-6351

The provider's authorized official is Gregory M Duckett .
The authorized official title is Sr Vp/ Clo and has the following contact phone number (901) 227-5233.

The CLIA number assigned to this NPI record is 25D2237815 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 9/30/2020.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy15022/1.1MISSISSIPPIYes

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
100031730MEDICAIDMISSISSIPPI

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.