ELLISVILLE STATE SCHOOL PHARMACY
NPI 1578668901
Pharmacy - Long Term Care Pharmacy in Ellisville, MS

Q: What is Ellisville State School's NPI number?

The NPI number for Ellisville State School is 1578668901. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Ellisville State School Pharmacy.

Q: What is Ellisville State School's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since September 13, 2006

1101 HIGHWAY 11 S, ELLISVILLE, MS 39437(601) 477-5785(601) 477-5687 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2019, Dec 10, 2015 (2 updates tracked since 2015).

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About Ellisville State School Pharmacy NPPES

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

ELLISVILLE STATE SCHOOL PHARMACY (NPI 1578668901) is a healthcare organization registered as a long term care pharmacy in Ellisville, Mississippi and active in the NPI registry since September 2006. The organization lists Patti Welch, Phcy Dir, as its authorized official.

NPPES Registry Identity

NPI1578668901

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameELLISVILLE STATE SCHOOL

Location Address1101 HIGHWAY 11 SEllisville, MS 39437-4443

Mailing Address1101 Highway 11 SEllisville, MS 39437-4443 · (601) 477-5785 · Fax (601) 477-5687

Phone(601) 477-5785

Fax(601) 477-5687

Organization SubpartNo

Authorized OfficialPatti WelchPhcy Dir · (601) 477-5784

Enumeration DateSeptember 13, 2006

Last NPPES UpdateDecember 17, 20192 updates tracked since enumeration

✔ NPI 1578668901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in MS · 01185031

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacyTaxonomy 333600000X

1101 HIGHWAY 11 S, Ellisville, MS 39437

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Other Names 1

Doing Business AsEllisville State School Pharmacy

Other Identifiers 2

Medicaid00030384MS

Other2050712Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

ELLISVILLE STATE SCHOOL DENTAL

Dentist