Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mississippi Cvs Pharmacy, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1144329459

Mississippi Cvs Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2803 Suncrest Dr
Jackson, MS 39212-2529
Phone: (601) 373-2111
Fax: (601) 372-7846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 00815/01.2 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1144329459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy # 05745; Cvs Pharmacy # 05745
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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