Deer Creek Pharmacy LLC
Deer Creek Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Rolling Fork, MS, holding Type 2 (organization) NPI 1174871057 since 2012. The authorized official on file is Charlie Darden, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174871057 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Deer Creek Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 56 S FOURTH ST, Rolling Fork, MS, 39159 |
| Phone | 6628736006 |
| Enumeration date | 2012-08-27 |
| Last updated in NPPES | 2016-05-09 |
Authorized official
| Name | Charlie Darden |
|---|---|
| Title | Owner |
| Phone | 6628737135 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 11482 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136470 | Other | — | PK |
Copy-ready billing details
Provider: Deer Creek Pharmacy LLC NPI: 1174871057 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 56 S FOURTH ST, Rolling Fork, MS, 39159
Verify this record
Cross-check NPI 1174871057 against the authoritative CMS record: view Deer Creek Pharmacy LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Deer Creek Pharmacy LLC?
What is the NPI number for Deer Creek Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-05-09.