# SMALL TOWN PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679017578
- **Authorized official:** MS. SHERI T COLLINS (OWNER)
- **Authorized official phone:** (601) 437-5121

## Contact information

- **Practice address:** 1005 MARKET ST, PORT GIBSON, MS 39150-2337
- **Practice address phone:** (601) 437-5121
- **Practice address fax:** (601) 437-5102
- **Mailing address:** 1005 MARKET ST, PORT GIBSON, MS 39150-2337
- **Mailing address phone:** (601) 437-5121
- **Mailing address fax:** (601) 437-5102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 15089/1.1 | MS | Yes |

## Other

- **Enumeration date:** 12/12/2016
- **Last updated:** 02/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330665 | — | MS |
| 01 | — | 2166886 | PK | — |