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Ellisville Drug Acquisition Co.

Community/Retail Pharmacy in Ellisville, MS · enumerated 2006 · authorized official Deborah Keaveny, Contracting Manager.

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

National Provider Identifier

1396829438

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Registry record

Entity type Organization (Type 2)
Legal business name Ellisville Drug Acquisition Co.
Other name <Unavail>
Practice address 915 Hill St, Ellisville, MS, 39437
Phone (601) 477-3573
Fax (601) 477-3572
Enumeration date Oct 25, 2006
Last updated in NPPES Apr 27, 2010

Taxonomy & classification

333600000X Pharmacy Suppliers · License 00140011 (MS) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Deborah Keaveny
Title Contracting Manager
Phone (612) 227-7811

Other identifiers

Identifier Type State Issuer
2501218 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
0330711 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

What is the NPI number for Ellisville Drug Acquisition Co.?
The NPI for Ellisville Drug Acquisition Co. is 1396829438, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ellisville Drug Acquisition Co.?
NPPES lists Deborah Keaveny (Contracting Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-27.