DIAMOND GROVE CTR PHARMACY NPI 1558372193

NPI Information

  • NPI: 1558372193
  • Provider Name: DIAMOND GROVE CTR PHARMACY
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: DIAMOND GROVE CENTER PHARMACY
  • Address: 2311 HIGHWAY 15 S
    LOUISVILLE, MS
    ZIP 39339
  • Phone: (662) 779-0119

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NPI Details

DIAMOND GROVE CTR PHARMACY is a pharmacy in Louisville, MS. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DIAMOND GROVE CTR PHARMACY NPI is 1558372193. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Grove Center Pharmacy.

The provider's business location address is:

2311 HIGHWAY 15 S
LOUISVILLE, MS
ZIP 39339-071
Phone: (662) 779-0119
Fax: (662) 779-0126

The provider's authorized official is Patrick Swoopes .
The authorized official title is Ceo and has the following contact phone number (662) 779-0119.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/15/2016.

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
13336I0012XPharmacyInstitutional PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
3333600000XPharmacy03665MISSISSIPPIYes

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
12047294OTHERPK
200330450MEDICAIDMISSISSIPPI

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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