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STATE LINE RX LLC
NPI 1568335248
Pharmacy - Community/Retail Pharmacy in State Line, MS

Active since September 27, 2025
194 MAIN ST, STATE LINE, MS 39362(601) 848-7866(601) 848-7866 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About State Line Rx Llc NPPES

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

STATE LINE RX LLC (NPI 1568335248) is a healthcare organization registered as a community/retail pharmacy in State Line, Mississippi and active in the NPI registry since September 2025. The organization lists Mellie Hicks, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1568335248
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSTATE LINE RX LLC
Location Address194 MAIN STState Line, MS 39362-9600
Mailing AddressPo Box 159State Line, MS 39362-0159 · (601) 848-7866 · Fax (601) 848-7866
Phone(601) 848-7866
Fax(601) 848-7866
Organization SubpartNo
Authorized OfficialMellie HicksPharmacy Manager · (601) 394-8064
Enumeration DateSeptember 27, 2025
NPPES CertifiedSeptember 27, 2025
✔ NPI 1568335248 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.
194 MAIN ST, State Line, MS 39362
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Other Providers at the Same Location NPPES

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

STATE LINE DRUGS
Pharmacy (Community/Retail Pharmacy)
194 MAIN ST
STATE LINE, MS 39362
Greene County (601) 848-7866

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 Line Rx LLC's NPI number?

The NPI number for State Line Rx LLC is 1568335248. It was assigned to this organization in the NPPES registry on September 27, 2025.

Where is State Line Rx LLC located?

State Line Rx LLC is located at 194 Main St, State Line, MS 39362. The listed phone number is (601) 848-7866.

What is State Line Rx LLC'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 Line Rx LLC was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.