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 1861654733

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

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

1209 Sunset Dr
Grenada, MS 38901-4063
Phone: (401) 765-1500
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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

Record details

NPI number1861654733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Exec Dir, Rx Services · (401) 770-2751
Other names Cvs Pharmacy #04376; Cvs Pharmacy #04376
NPI enumeratedJuly 1, 2008
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address1 Cvs Dr, Box 1075- Pharmacy Enrollments, Woonsocket, RI 02895-6146

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