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

Charles Dylan Keveryn, PHARMD

Individual provider Pharmacist · NPI 1104499243

Charles Dylan Keveryn, PHARMD is a Pharmacist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence E-100206 (MS)

Record details

NPI number1104499243
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 16, 2021
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address810 Bridgeport Dr, Madison, MS 39110-9610

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