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UNIVERSITY PAVILION PHARMACY
NPI 1417090093
Pharmacy - Clinic Pharmacy in Jackson, MS

Active since February 14, 2007
1410 E WOODROW WILSON DR, JACKSON, MS 39216(601) 984-2058(601) 984-2063 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Pavilion Pharmacy NPPES

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

UNIVERSITY PAVILION PHARMACY (NPI 1417090093) is a healthcare organization registered as a clinic pharmacy in Jackson, Mississippi and active in the NPI registry since February 2007. The organization lists Susan Hartness Cobb, Pharmacy Supervisor, as its authorized official.

NPPES Registry Identity

NPI1417090093
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameUNIVERSITY PAVILION PHARMACY
Location Address1410 E WOODROW WILSON DRJackson, MS 39216
Mailing Address1410 E Woodrow Wilson DrJackson, MS 39216 · (601) 984-2058 · Fax (601) 984-2063
Phone(601) 984-2058
Fax(601) 984-2063
Organization SubpartNo
Authorized OfficialSusan Hartness CobbPharmacy Supervisor · (601) 984-2058
Enumeration DateFebruary 14, 2007
Last NPPES UpdateSeptember 7, 2007
✔ NPI 1417090093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in MS · 02188
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
1410 E WOODROW WILSON DR, Jackson, MS 39216
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Other Identifiers 1

Medicaid30158MS

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 Arizona Complete Health and more.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 University Pavilion Pharmacy's NPI number?

The NPI number for University Pavilion Pharmacy is 1417090093. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is University Pavilion Pharmacy located?

University Pavilion Pharmacy is located at 1410 E Woodrow Wilson Dr, Jackson, MS 39216. The listed phone number is (601) 984-2058.

What is University Pavilion Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does University Pavilion Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list University Pavilion Pharmacy 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 University Pavilion Pharmacy was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.