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

Waveland Pharmacy LLC

Organization Pharmacy · NPI 1679507644

Waveland Pharmacy LLC is a Pharmacy in Waveland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

112 Auderer Blvd
Waveland, MS 39576-2432
Phone: (228) 463-1055
Fax: (228) 463-0117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence F05352 (MS)
Pharmacy Taxonomy 333600000X

Record details

NPI number1679507644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rudy Letellier — Owner Phcst · (228) 463-1055
Other names Waveland Pharmacy
NPI enumeratedJuly 10, 2006
Last updated in NPPESDecember 14, 2015
Mailing addressPo Box 4617, Bay St Louis, MS 39521-4617