Sullivan's Discount Drugs Inc.
Community/Retail Pharmacy Accepts Medicare
109 Northside Shopping Center, Hwy 12 W, Kosciusko
Mississippi, 39090
662-289-3234 662-289-3030
Sullivan's Discount Drugs Inc. is a Community/Retail Pharmacy in Kosciusko, Mississippi. It is located at 109 Northside Shopping Center, Hwy 12 W, Kosciusko and it's customer support contact number is 662-289-3234. The authorized person of Sullivan's Discount Drugs Inc. is Mr. David Charles Hudson, R.PH. who is Pharmacist of the pharmacy and his contact number is 662-289-3234. Sullivan's Discount Drugs Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sullivan's Discount Drugs Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Sullivan's Discount Drugs Inc. 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: | Sullivan's Discount Drugs Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 109 Northside Shopping Center, Hwy 12 W, Kosciusko,
Mississippi, 39090 |
| Phone: | 662-289-3234 |
| Fax: | 662-289-3030 |
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: | Mr. David Charles Hudson |
| Credentials: | R.PH. |
| Position: | Pharmacist |
| Contact Number: | 662-289-3234 |
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: | 1154354314 |
| NPI Enumeration Date: | 09 Jul, 2006 |
| NPI Last Update On: | 18 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sullivan's Discount Drugs Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Pharmacy | 00233 | Mississippi | Secondary | |
| Long Term Care Pharmacy | 00233 | Mississippi | 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 |
| 00034452 | Medicaid | Mississippi | |
| 2505026 | Other | Mississippi | Ncpdp # |
Medicare Enrollment:
Sullivan's Discount Drugs Inc. 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 |
| 6305967001 | O20140806000397 | Sullivans Discount Drugs Inc | PART B SUPPLIER - OTHER |
| 6305967001 | O20170721000290 | Sullivans Discount Drugs Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Sullivan's Discount Drugs Inc. has following products available for sale under medicare.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 109 Northside Shopping Center, Hwy 12 W
Kosciusko, Mississippi |
| Zip: | 39090 |
| Phone Number: | 662-289-3234 |
| Fax Number: | 662-289-3030 |
Patients can reach Sullivan's Discount Drugs Inc. at
109 Northside Shopping Center, Hwy 12 W, Kosciusko, Mississippi or can
call on customer care at 662-289-3234.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.