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Mississippi Cvs Pharmacy, LLC

Pharmacy in Diamondhead, MS · enumerated 2015 · authorized official Susan Colbert, Director.

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

National Provider Identifier

1487043527

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Registry record

Entity type Organization (Type 2)
Legal business name Mississippi Cvs Pharmacy, LLC
Other name <Unavail>
Practice address 4422 Kalani Dr, Diamondhead, MS, 39525
Phone (228) 255-7343
Enumeration date Jan 13, 2015
Last updated in NPPES Sep 21, 2015

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
Phone (401) 765-1500

Other identifiers

Identifier Type State Issuer
00030634 Medicaid MS -
2590051 Other MS NCPDP
00023721 DME 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-09-21. Verify at npiregistry.cms.hhs.gov.
Where is Mississippi Cvs Pharmacy, LLC located?
The practice location on file with NPPES is in Diamondhead, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-21.