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Sumrall Drug Store LLC

Community/Retail Pharmacy in Sumrall, MS · enumerated 2006 · authorized official Beau Haden, Owner.

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

National Provider Identifier

1275613952

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Registry record

Entity type Organization (Type 2)
Legal business name Sumrall Drug Store LLC
Other name <Unavail>
Practice address 1109 Hwy 42, Sumrall, MS, 39482
Phone (601) 758-4243
Fax (601) 758-4999
Enumeration date Oct 16, 2006
Last updated in NPPES Dec 7, 2016

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 00461011 (MS) Primary

Authorized official

Name Beau Haden
Title Owner
Phone (601) 758-4243

Other identifiers

Identifier Type State Issuer
0092193 Medicaid MS -
2047304 Other - PK

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Sumrall Drug Store LLC?
Sumrall Drug Store LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-07.