1. Home
  2. Directory
  3. Mississippi
  4. Waveland
  5. Pharmacy
  6. NPI Profile

WAVELAND PHARMACY
NPI 1679507644
Pharmacy - Community/Retail Pharmacy in Waveland, MS

Active since July 10, 2006
112 AUDERER BLVD, WAVELAND, MS 39576(228) 463-1055(228) 463-0117 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waveland Pharmacy NPPES

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

WAVELAND PHARMACY (NPI 1679507644) is a healthcare organization registered as a community/retail pharmacy in Waveland, Mississippi and active in the NPI registry since July 2006. The organization lists Rudy Letellier, Owner Phcst, as its authorized official.

NPPES Registry Identity

NPI1679507644
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAVELAND PHARMACY LLC
Location Address112 AUDERER BLVDWaveland, MS 39576-2432
Mailing AddressPo Box 4617Bay St Louis, MS 39521-4617 · (228) 463-1055
Phone(228) 463-1055
Fax(228) 463-0117
Organization SubpartNo
Authorized OfficialRudy LetellierOwner Phcst · (228) 463-1055
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 14, 2015
✔ NPI 1679507644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MS · F05352
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.
Also ListedPharmacyTaxonomy 333600000X
112 AUDERER BLVD, Waveland, MS 39576
Open in Google Maps ↗

Other Names 1

Doing Business AsWaveland Pharmacy

Other Identifiers 3

Medicare NSC4763790001
Other2046344Pk
Medicaid00330669MS

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 ›

Other Providers at the Same Location NPPES

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

MR. RUDY LETELLIER
Pharmacist
112 AUDERER BLVD
WAVELAND, MS 39576
Hancock County (228) 463-1055

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 Waveland Pharmacy LLC's NPI number?

The NPI number for Waveland Pharmacy LLC is 1679507644. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Waveland Pharmacy.

Where is Waveland Pharmacy LLC located?

Waveland Pharmacy LLC is located at 112 Auderer Blvd, Waveland, MS 39576. The listed phone number is (228) 463-1055.

What is Waveland Pharmacy LLC's specialty?

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

What insurance does Waveland Pharmacy LLC 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 51 other insurers list Waveland Pharmacy LLC 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 Waveland Pharmacy LLC was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.