MISSISSIPP STATE DEPARTMENT OF HEALTH (NPI# 1376606582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376606582 |
| Entity Type | Organization |
| Organization Name | MISSISSIPP STATE DEPARTMENT OF HEALTH |
| Practice Address |
3156 Lawson Street Jackson MS 39213 |
| Practice Telephone | 6017133457 |
| Practice Fax Number | 6013642670 |
| Mailing Telephone | 6017133457 |
| Mailing Fax Number | 6013642670 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-12-27 |
| Authorized Official Name | FELICIA SHANEE LIDDELL (PHARMACY TECHNICIAN) |
| Authorized Official Telephone | 6017133457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | 01085 05.1 | MS | Agencies |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
0108505.1 | MS | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2517196 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417367236 | Mississipp State Department of Health | Public Health or Welfare | 645 S Main St, Water Valley, MS 38965-3469 | 2014-05-01 |
| Street Address |
3156 LAWSON STREET |
| City | JACKSON |
| State | MS |
| Zip Code | 39213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043434939 | Ms State Department of Health Pharmacy | Public Health or Welfare | 3156 Lawson Street, Jackson, MS 39213 | 2007-04-12 |
| 1861616757 | Ms State Department of Health Pharmacy | Public Health or Welfare | 3156 Lawson Street, Jackson, MS 39213 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1942314570 | Pharmaceutical Services Inc | Pharmacy | W209 N17321 Industrial Dr, Jackson, WI 53037-9389 | 2006-08-19 |
| 1326029448 | R.c.mcdonald Co Inc | Pharmacy | 1701 Charter St, Jackson, LA 70748-5927 | 2005-11-07 |
| 1063031698 | Ltc Leonard LLC | Pharmacy | 303 W Prospect St, Jackson, MI 49203-4113 | 2020-04-14 |
| 1366061475 | Fpj Inc | Pharmacy | 200 W Main St, Jackson, TN 38301-6114 | 2020-04-09 |
| 1609125376 | Ampharm, Inc. | Pharmacy | 45 Forest Cv, Jackson, TN 38301 | 2012-09-10 |
| 1972657179 | Teton County Hospital District | Pharmacy | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2007-01-23 |
| 1811075336 | Jackson Pharmacy Inc | Pharmacy | 200 W Washington St, Jackson, MO 63755-1858 | 2006-11-01 |
| 1710063276 | W.a. Foote Memorial Hospital, Inc. | Pharmacy | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143323 | Sartin's Discount Drugs, Inc | Pharmacy | 4300 15th St Ste 1, Gulfport, MS 39501-2524 | 2020-08-04 |
| 1952932212 | Magnolia Drugs Inc | Pharmacy | 1757 Highway 178 W Ste B, Myrtle, MS 38650-9233 | 2020-01-27 |
| 1538717459 | Square Drugs, LLC | Pharmacy | 126 Court Square, Charleston, MS 38921 | 2019-09-04 |
| 1609436674 | Thrift Drugs 2 | Pharmacy | 208 W Presley Blvd Ste B, Mccomb, MS 39648-5524 | 2019-06-20 |
| 1285135954 | Rocky L. Mcgarity, Inc. | Pharmacy | 103 W Frontage Rd Ste A, Lucedale, MS 39452-5836 | 2018-02-27 |
| 1144753823 | Quinn's Family Pharmacy, Inc | Pharmacy | 24944 Hwy 15, Union, MS 39365-1565 | 2017-04-10 |
| 1336520188 | Redimeds Pharmacy, LLC | Pharmacy | 3466 Mccullough Blvd Ste D-2, Belden, MS 38826-9468 | 2015-06-17 |
| 1497133391 | Mississippi Senior Care | Pharmacy | 144 S Thomas St Ste 101-1, Tupelo, MS 38801-5326 | 2015-05-11 |
| 1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
| 1821292731 | Tara Pharmacy | Pharmacy | 110 Metroplex Blvd, Suite H, Pearl, MS 39218 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.