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Mississippi Cvs Pharmacy, L.L.C.

Pharmacy in Kosciusko, MS · enumerated 2006 · authorized official Susan Colbert, Director, Payer Relations.

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

National Provider Identifier

1316046626

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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 108 Highway 12 E, Kosciusko, MS, 39090
Phone (662) 289-1963
Fax (662) 289-7375
Enumeration date Sep 22, 2006
Last updated in NPPES Jan 17, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 02212/01.2 (MS) 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
2516586 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
000330350 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

Where is Mississippi Cvs Pharmacy, L.L.C. located?
The practice location on file with NPPES is in Kosciusko, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-17. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-17.