INVICTUS RX LLC (NPI# 1417482258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417482258 |
| Entity Type | Organization |
| Organization Name | INVICTUS RX LLC |
| Other Organization Name | INVICTUS RX |
| Practice Address |
104 Business Park Dr Ste D-e Ridgeland MS 39157-6017 |
| Mailing Address |
104 Business Park Dr Suite D-e Ridgeland MS 39157-6017 |
| Practice Telephone | 6019442928 |
| Practice Fax Number | 6009442928 |
| Mailing Telephone | 6019442928 |
| Mailing Fax Number | 6009442928 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | JENNIFER SARTAIN (MANAGING MEMBER) |
| Authorized Official Telephone | 6019442927 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
15532 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2169108 | 01 | |
| MS | 5005520 | 05 |
| Other Name | Type Code |
|---|---|
| Invictus Rx | Doing Business As Name - Organization |
| Street Address |
104 BUSINESS PARK DR STE D-E |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1619465218 | R & E Pharmacies, Inc | Pharmacy | 396 Highway 51 Ste B, Ridgeland, MS 39157-3426 | 2018-04-29 |
| 1336490168 | Medworx Compounding LLC | Pharmacy | 950 E County Line Rd Ste A, Ridgeland, MS 39157-1928 | 2012-09-19 |
| 1730446923 | Ridgeland Apothecary, LLC. | Pharmacy | 500 Highway 51, Suite Q, Ridgeland, MS 39157-2599 | 2012-04-12 |
| 1831461052 | Carolina Infusion | Pharmacy | 405 Old House Rd Unit 102, Ridgeland, SC 29936-6946 | 2012-02-03 |
| 1841527785 | Ridgeland Drug Company Inc | Pharmacy | 149 Riverwalk Blvd Ste 1, Ridgeland, SC 29936-8191 | 2009-11-13 |
| 1770682080 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 1600 E County Line Rd, Ridgeland, MS 39157-1906 | 2006-09-22 |
| 1225639248 | Johnnie L Patton | Pharmacy | 815 S Wheatley St, Ridgeland, MS 39157-5002 | 2020-11-05 |
| 1891335824 | Costco Wholesale Corporation | Pharmacy | 700 Highland Colony Pkwy, Ridgeland, MS 39157-8701 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1649883844 | Natchez Wellness Pharmacy | Pharmacy | 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 | 2020-08-26 |
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1114566122 | Valley Drugs, Inc. | Pharmacy | 327b S Main St, Water Valley, MS 38965-3318 | 2019-12-23 |
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1518501592 | Southwest Pharmacy Inc | Pharmacy | 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 | 2019-11-01 |
| 1669015210 | Hometown Family Pharmacy, Inc. | Pharmacy | 930 Hall St Ste H, Wiggins, MS 39577-2113 | 2019-10-25 |
| 1225671001 | A & A Infusion & Specialty, LLC | Pharmacy | 124 E Jackson St, Belzoni, MS 39038-3642 | 2019-10-23 |
| 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.