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Vicksburg Special Care Pharmacy and Compounding LLC

Community/Retail Pharmacy in Vicksburg, MS · enumerated 2009 · authorized official Jason Rutland, Mgr.

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

National Provider Identifier

1659606663

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Registry record

Entity type Organization (Type 2)
Legal business name Vicksburg Special Care Pharmacy and Compounding LLC
Other name <Unavail>
Practice address 4079 Pemberton Square Blvd, Vicksburg, MS, 39180
Phone (601) 636-5555
Fax (601) 638-1564
Enumeration date Oct 8, 2009
Last updated in NPPES Oct 7, 2016

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 08249/1.1 (MS) Primary

Authorized official

Name Jason Rutland
Title Mgr
Phone (601) 983-1239

Other identifiers

Identifier Type State Issuer
2122108 Other - PK
123555 Medicaid LA -

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

Who is the authorized official for Vicksburg Special Care Pharmacy and Compounding LLC?
NPPES lists Jason Rutland (Mgr) as the authorized official for this organization.
What is the NPI number for Vicksburg Special Care Pharmacy and Compounding LLC?
The NPI for Vicksburg Special Care Pharmacy and Compounding LLC is 1659606663, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-07.