State Of Mississippi University Of Mississippi Medical Center
Pharmacy
350 W Woodrow Wilson Ave, 501, Jackson
Mississippi, 39213-7681
601-815-3857 601-815-8901
State Of Mississippi University Of Mississippi Medical Center is a Pharmacy in Jackson, Mississippi. This organization is also known as sub part of State Of Mississippi University Of Mississippi Medical Center. It is located at 350 W Woodrow Wilson Ave, 501, Jackson and it's customer support contact number is 601-815-3857. The authorized person of State Of Mississippi University Of Mississippi Medical Center is Steven V Dancer, R.PH. who is Pharmacy Supervisor of the pharmacy and his contact number is 601-815-8902. Active license number of State Of Mississippi University Of Mississippi Medical Center is 06430 for Pharmacy in Mississippi. State Of Mississippi University Of Mississippi Medical Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
State Of Mississippi University Of Mississippi Medical Center 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:
State Of Mississippi University Of Mississippi Medical Center 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: | State Of Mississippi University Of Mississippi Medical Center |
| Type: | Pharmacy |
| Location: | 350 W Woodrow Wilson Ave, 501, Jackson,
Mississippi, 39213-7681 |
| Phone: | 601-815-3857 |
| Fax: | 601-815-8901 |
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: | Steven V Dancer |
| Credentials: | R.PH. |
| Position: | Pharmacy Supervisor |
| Contact Number: | 601-815-8902 |
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: | 1275677890 |
| Parent Organization: | State Of Mississippi University Of Mississippi Medical Center |
| NPI Enumeration Date: | 16 Feb, 2007 |
| NPI Last Update On: | 19 Dec, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Of Mississippi University Of Mississippi Medical Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 06430 | Mississippi | Primary | |
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 |
| 01177235 | Medicaid | Mississippi | |
Medicare Enrollment:
State Of Mississippi University Of Mississippi Medical Center 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 |
| 1850293036 | O20121130000266 | State Of Mississippi-university Of Mississippi Medical Center | PART B SUPPLIER - OTHER |
Products Available:
State Of Mississippi University Of Mississippi Medical Center has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Cpap, Rads, & Related Supplies & Accessories |
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Heat & Cold Applications | • High Frequency Chest Wall Oscillation (hfcwo) Devices |
| • Mechanical In-exsufflation Devices | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Ostomy Supplies | • Oxygen Equipment & Supplies |
| • Respiratory Suction Pumps | • Seat Lift Mechanisms |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Transcutaneous Electrical Nerve Stimulators (tens) Units |
| • Urological Supplies | • Ventilators, Accessories & Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 350 W Woodrow Wilson Ave, 501
Jackson, Mississippi |
| Zip: | 39213-7681 |
| Phone Number: | 601-815-3857 |
| Fax Number: | 601-815-8901 |
Patients can reach State Of Mississippi University Of Mississippi Medical Center at
350 W Woodrow Wilson Ave, 501, Jackson, Mississippi or can
call on customer care at 601-815-3857.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.