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PHARMACY IN DIAMONDHEAD
NPI 1003207895
Pharmacy - Community/Retail Pharmacy in Diamondhead, MS

Active since February 15, 2015
4405 E ALOHA DR # AA, DIAMONDHEAD, MS 39525(228) 222-4662(228) 222-4733 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Jun 23, 2020, Apr 24, 2020 (3 updates tracked since 2020).

About Pharmacy In Diamondhead NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHARMACY IN DIAMONDHEAD (NPI 1003207895) is a healthcare organization registered as a community/retail pharmacy in Diamondhead, Mississippi and active in the NPI registry since February 2015. The organization lists Rudy Allen Letellier, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1003207895
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDIAMONDHEAD HEALTH MART PHARMACY,LLC
Location Address4405 E ALOHA DR # AADiamondhead, MS 39525-3380
Mailing AddressPo Box 4258Bay St Louis, MS 39521-4258 · (228) 222-4662 · Fax (228) 222-4733
Phone(228) 222-4662
Fax(228) 222-4733
Organization SubpartNo
Authorized OfficialRudy Allen LetellierOwner/pharmacist · (228) 222-4662
Enumeration DateFebruary 15, 2015
Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1003207895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MS · 14221/1.1
Definition
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.
4405 E ALOHA DR # AA, Diamondhead, MS 39525
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Other Names 2

Doing Business AsPharmacy In Diamondhead
Doing Business AsDiamondhead Health Mart Pharmacy

Other Identifiers 1

Medicaid08129049MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diamondhead Health Mart Pharmacy,llc's NPI number?

The NPI number for Diamondhead Health Mart Pharmacy,llc is 1003207895. It was assigned to this organization in the NPPES registry on February 15, 2015. The provider is doing business as Pharmacy In Diamondhead and Diamondhead Health Mart Pharmacy.

Where is Diamondhead Health Mart Pharmacy,llc located?

Diamondhead Health Mart Pharmacy,llc is located at 4405 E Aloha Dr # Aa, Diamondhead, MS 39525. The listed phone number is (228) 222-4662.

What is Diamondhead Health Mart Pharmacy,llc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Diamondhead Health Mart Pharmacy,llc accept?

Health plans from Moda Health Plan, Inc. list Diamondhead Health Mart Pharmacy,llc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diamondhead Health Mart Pharmacy,llc was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.