Mississippi Cvs Pharmacy LLC
Mississippi Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Jackson, MS, holding Type 2 (organization) NPI 1518980804 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1518980804 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mississippi Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 6365 I 55 N, Jackson, MS, 39213 |
| Phone | 6017180021 |
| Fax | 6017183572 |
| Enumeration date | 2006-07-26 |
| Last updated in NPPES | 2016-11-04 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | 06404/1.2 | MS |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047108 | Other | — | PK |
Copy-ready billing details
Provider: Mississippi Cvs Pharmacy LLC NPI: 1518980804 Taxonomy: 333600000X (Pharmacy) Address: 6365 I 55 N, Jackson, MS, 39213
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255618898 | Tori Terrell | Individual | Pharmacist | Jackson, MS |
| 1043587223 | Jeremy Campbell | Individual | Pharmacist | Jackson, MS |
| 1770840811 | Bhumi Patel | Individual | Pharmacist | Jackson, MS |
| 1427303890 | Katherine Griffin | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Jackson, MS |
| 1326440504 | Kristen Russell | Individual | Pharmacist | Jackson, MS |
| 1366039315 | Mattie Woodberry | Individual | Registered Nurse | Jackson, MS |
Verify this record
Cross-check NPI 1518980804 against the authoritative CMS record: view Mississippi Cvs 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
What is the NPI number for Mississippi Cvs Pharmacy LLC?
Who is the authorized official for Mississippi Cvs Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-04.