TOTAL CARE SPECIALTY PHARMACY LLC NPI 1568132058

NPI Information

  • NPI: 1568132058
  • Provider Name: TOTAL CARE SPECIALTY PHARMACY, LLC
  • Classification: Pharmacy Technician - 183700000X
  • Entity Type: Organization
  • Address: 4079 PEMBERTON SQUARE BLVD
    VICKSBURG, MS
    ZIP 39180
  • Phone: (601) 618-0002

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NPI Details

TOTAL CARE SPECIALTY PHARMACY, LLC is a pharmacy technician in Vicksburg, MS. The provider is a person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. TOTAL CARE SPECIALTY PHARMACY, LLC NPI is 1568132058. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4079 PEMBERTON SQUARE BLVD
VICKSBURG, MS
ZIP 39180-580
Phone: (601) 618-0002
Fax: (601) 501-7831

The provider's authorized official is De'shawn Nichelle Graves .
The authorized official title is Owner and has the following contact phone number (601) 618-0002.

The enumeration date for this NPI number is 9/15/2021 and was last updated on 9/15/2021.

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
1183700000XPharmacy TechnicianYes

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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