Organization
MISSISSIPPI CVS PHARMACY, L.L.C
Active
Other names
CVS Pharmacy #04993
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1014 HIGHWAY 51, MADISON, MS 39110-8304
(601) 856-2021
Mailing address
1 CVS DRIVE, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00888740
—
MS
01
—
08420042
MEDICAID DME
MS
01
—
2587826
NCPDP
MS
Enumeration date
09/22/2009
Last updated
08/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us