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STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MED CTR NPI 1649419532


NPI Information

NPI: 1649419532
Provider Name: STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MED CTR

Doing Business As: UMHC CARE CLINIC PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2500 N STATE ST
H120
JACKSON, MS
ZIP 39216
Phone: (601) 815-1686
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STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MED CTR 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. STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MED CTR NPI is 1649419532. The provider is registered as an organization entity type.
The provider Is Doing Business As Umhc Care Clinic Pharmacy.

The provider's business location address is:

2500 N STATE ST
H120
JACKSON, MS
ZIP 39216-500
Phone: (601) 815-1686
Fax: (601) 815-1689

The provider's authorized official is Michael Todaro .
The authorized official title is Director Of Pharmacy and has the following contact phone number (601) 984-2754.

The enumeration date for this NPI number is 2/17/2009 and was last updated on 8/26/2013.


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
13336C0003XPharmacyCommunity/Retail Pharmacy07796/05.1MISSISSIPPIYes

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
12119027OTHERPK
206300271MEDICAIDMISSISSIPPI

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

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