HENDERSON DRUGS INC NPI 1396832101

NPI Information

  • NPI: 1396832101
  • Provider Name: HENDERSON DRUGS, INC
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • CLIA Number: 25D2297747
  • Address: 2021 HOSPITAL DR
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 624-6591

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NPI Details

HENDERSON DRUGS, INC is a pharmacist in Clarksdale, MS. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. HENDERSON DRUGS, INC NPI is 1396832101. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2021 HOSPITAL DR
CLARKSDALE, MS
ZIP 38614-205
Phone: (662) 624-6591
Fax: (662) 627-3389

The provider's authorized official is Val Soldevila .
The authorized official title is Pres and has the following contact phone number (662) 624-6591.

The CLIA number assigned to this NPI record is 25D2297747 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 10/5/2006 and was last updated on 9/30/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist00412MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10253350001MEDICARE NSC
200032336MEDICAIDMISSISSIPPI
300045069MEDICAIDMISSISSIPPI
42501321OTHERMISSISSIPPINCPDP

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: 11/21/2025

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