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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI M
NPI 1417090093
Pharmacy - Community/Retail Pharmacy in Jackson, MS

Active since February 14, 2007
2500 N STATE ST, JACKSON, MS 39216(601) 984-6455(601) 815-7640 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About State Of Mississippi - University Of Mississippi M NPPES

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

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI M (NPI 1417090093) is a healthcare organization registered as a community/retail pharmacy in Jackson, Mississippi and active in the NPI registry since February 2007. The organization lists Jeffrey Grimsley, Assocate Cfo - Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1417090093
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI M
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-6455 · Fax (601) 815-7640
Phone(601) 984-6455
Fax(601) 815-7640
Organization SubpartNo
Authorized OfficialJeffrey GrimsleyAssocate Cfo - Clinical Operations · (601) 815-6270
Enumeration DateFebruary 14, 2007
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1417090093 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 · 02188
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.
2500 N STATE ST, Jackson, MS 39216
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Other Names 1

Other NameUniversity Pavilion Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 M's NPI number?

The NPI number for State Of Mississippi - University Of Mississippi M is 1417090093. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is also known as University Pavilion Pharmacy.

Where is State Of Mississippi - University Of Mississippi M located?

State Of Mississippi - University Of Mississippi M is located at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-6455.

What is State Of Mississippi - University Of Mississippi M's specialty?

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

What insurance does State Of Mississippi - University Of Mississippi M accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 39 other insurers list State Of Mississippi - University Of Mississippi M 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 State Of Mississippi - University Of Mississippi M was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.