STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1093562167
Pharmacy - Community/Retail Pharmacy in Ridgeland, MS

Active since May 06, 2024
124 UMMC WAY, RIDGELAND, MS 39157(601) 984-1000 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 19, 2026, Sep 19, 2025, May 6, 2024 (3 updates tracked since 2024).

About State Of Mississippi - University Of Mississippi Medical Center NPPES

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

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1093562167) is a healthcare organization registered as a community/retail pharmacy in Ridgeland, Mississippi and active in the NPI registry since May 2024. The organization lists Jeffrey Grimsley, Associate Cfo - Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1093562167
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address124 UMMC WAYRidgeland, MS 39157-1116
Mailing AddressPo Box 11407 Dept 2130Birmingham, AL 35246-2130
Organization SubpartNo
Authorized OfficialJeffrey GrimsleyAssociate Cfo - Clinical Operations · (601) 815-6270
Enumeration DateMay 6, 2024
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1093562167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
124 UMMC WAY, Ridgeland, MS 39157

Other Names 1

Other NameUmmc Colony Park Retail Pharmacy

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
124 UMMC WAY
RIDGELAND, MS 39157
Clinic/Center (Ambulatory Surgical)
124 UMMC WAY
RIDGELAND, MS 39157

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 State Of Mississippi - University Of Mississippi Medical Center's NPI number?

The NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1093562167. It was assigned to this organization in the NPPES registry on May 6, 2024. The provider is also known as UMMC Colony Park Retail Pharmacy.

Where is State Of Mississippi - University Of Mississippi Medical Center located?

State Of Mississippi - University Of Mississippi Medical Center is located at 124 Ummc Way, Ridgeland, MS 39157. The listed phone number is (601) 984-1000.

What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

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

When was this NPI record last updated?

The NPPES record for State Of Mississippi - University Of Mississippi Medical Center was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.