Mississippi Cvs Pharmacy, L.l.c. is an authorized DME supplier for medicare equipments and products.
Mississippi Cvs Pharmacy, L.l.c. is a Pharmacy in Booneville, Mississippi. It is located at 301 American Ave, Booneville and it's customer support contact number is 662-720-1707. The authorized person of Mississippi Cvs Pharmacy, L.l.c. is Susan Colbert who is Director, Payer Relations of the pharmacy and his contact number is 401-770-2751.Mississippi Cvs Pharmacy, L.l.c. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Mississippi Cvs Pharmacy, L.l.c. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Mississippi Cvs Pharmacy, L.l.c. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Mississippi Cvs Pharmacy, L.l.c.
Type:
Pharmacy
Location:
301 American Ave, Booneville, Mississippi, 38829-1001
Phone:
662-720-1707
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Susan Colbert
Position:
Director, Payer Relations
Contact Number:
401-770-2751
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1255647541
NPI Enumeration Date:
24 Aug, 2010
NPI Last Update On:
17 Jan, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mississippi Cvs Pharmacy, L.l.c. are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2588119
Other
Ncpdp
07609070
Other
Mississippi
Medicaid Dme
01880069
Medicaid
Mississippi
Medicare Enrollment:
Mississippi Cvs Pharmacy, L.l.c. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
9335344456
O20101015000470
Mississippi Cvs Pharmacy Llc
DME SUPPLIER - PHARMACY
9335344456
O20101230001038
Mississippi Cvs Pharmacy Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Mississippi Cvs Pharmacy, L.l.c. has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Mail Order
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Enteral Equipment And/or Supplies
Enteral Nutrients
Heat & Cold Applications
Nebulizer Equipment & Supplies
Ostomy Supplies
Parenteral Equipment And/or Supplies
Parenteral Nutrients
Surgical Dressings
Urological Supplies
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1 Cvs Dr, Box 1075-pharmacy Enrollments Woonsocket, Rhode Island
Zip:
02895-6146
Phone Number:
401-765-1500
Fax Number:
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Patients can reach Mississippi Cvs Pharmacy, L.l.c. at 301 American Ave, Booneville, Mississippi or can call on customer care at 662-720-1707.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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