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EAST MISSISSIPPI STATE HOSPITAL NPI 1649323254


NPI Information

NPI: 1649323254
Provider Name: EAST MISSISSIPPI STATE HOSPITAL
Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

CLIA Number: 25D2020563

Address:
4555 HIGHLAND PARK DR
MERIDIAN, MS
ZIP 39307
Phone: (601) 581-7818
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EAST MISSISSIPPI STATE HOSPITAL is an institutional pharmacy pharmacy in Meridian, MS. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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. EAST MISSISSIPPI STATE HOSPITAL NPI is 1649323254. The provider is registered as an organization entity type.

The provider's business location address is:

4555 HIGHLAND PARK DR
MERIDIAN, MS
ZIP 39307
Phone: (601) 581-7818
Fax: (601) 581-7822

The provider's authorized official is Donald R Mckay .
The authorized official title is Pharmacist and has the following contact phone number (601) 581-7818.

The CLIA number assigned to this NPI record is 25D2020563 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 5/12/2020.


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
1283Q00000XPsychiatric HospitalMISSISSIPPINo
2333600000XPharmacy01108031MISSISSIPPINo
33336L0003XPharmacyLong Term Care Pharmacy01108031MISSISSIPPINo
43336I0012XPharmacyInstitutional Pharmacy01108031MISSISSIPPIYes

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
12517689OTHERNCPDP
200330069MEDICAIDMISSISSIPPI

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: 11/14/2023

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.