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Mississippi Cvs Pharmacy, L.L.C.

Pharmacy in Olive Branch, MS · enumerated 2010 · authorized official Susan Colbert, Director, Payer Relations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093046500

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Registry record

Entity type Organization (Type 2)
Legal business name Mississippi Cvs Pharmacy, L.L.C.
Other name <Unavail>
Practice address 5025 Highway 305 N, Olive Branch, MS, 38654
Phone (662) 890-3548
Enumeration date Jan 22, 2010
Last updated in NPPES Mar 1, 2012

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Colbert
Title Director, Payer Relations
Phone (401) 770-2751

Other identifiers

Identifier Type State Issuer
2587915 Other - NCPDP
03337761 Medicaid MS -
07158876 Other MS MEDICAID DME

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Mississippi Cvs Pharmacy, L.L.C. located?
The practice location on file with NPPES is in Olive Branch, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-03-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-01.