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Mississippi Cvs Pharmacy LLC

Pharmacy in Walls, MS · enumerated 2008 · authorized official Susan Colbert, Director, Payer Relations.

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

National Provider Identifier

1174798417

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Registry record

Entity type Organization (Type 2)
Legal business name Mississippi Cvs Pharmacy LLC
Other name <Unavail>
Practice address 6040 Goodman Rd, Walls, MS, 38680
Phone (401) 765-1500
Enumeration date Apr 28, 2008
Last updated in NPPES Oct 25, 2011

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
2587181 Other - NCPDP
06773354 Medicaid MS -

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

Who is the authorized official for Mississippi Cvs Pharmacy LLC?
NPPES lists Susan Colbert (Director, Payer Relations) as the authorized official for this organization.
What is the NPI number for Mississippi Cvs Pharmacy LLC?
The NPI for Mississippi Cvs Pharmacy LLC is 1174798417, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-25.