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 1528229614

Mississippi Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Olive Branch, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008
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

5150 Goodman Rd
Olive Branch, MS 38654-7903
Phone: (662) 892-3032
Fax: (662) 892-3042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 07763/1.2 (MS)

Record details

NPI number1528229614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #17498
NPI enumeratedJune 20, 2008
Last updated in NPPESNovember 4, 2016
Mailing address1 Cvs Dr, Box 1075, Woonsocket, RI 02895-6146

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