SULLIVAN'S DRUG STORE,INC
NPI 1700965811
Pharmacy - Community/Retail Pharmacy in Batesville, MS

Active since November 02, 2006
107 VAN VORIS ST, BATESVILLE, MS 38606(662) 563-7687(662) 563-0260 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan's Drug Store,inc NPPES

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

SULLIVAN'S DRUG STORE,INC (NPI 1700965811) is a healthcare organization registered as a community/retail pharmacy in Batesville, Mississippi and active in the NPI registry since November 2006. The organization lists Randell Glenn Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1700965811
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSULLIVAN'S DRUG STORE,INC
Location Address107 VAN VORIS STBatesville, MS 38606-2198
Mailing Address107 Van Voris StBatesville, MS 38606-2198 · (662) 563-7687 · Fax (662) 563-0260
Fax(662) 563-0260
Organization SubpartNo
Authorized OfficialRandell Glenn SullivanOwner · (662) 563-7687
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1700965811 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 · 00481/01.1
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.
107 VAN VORIS ST, Batesville, MS 38606

Other Identifiers 1

Medicaid00034444MS

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 Sullivan's Drug Store,inc's NPI number?

The NPI number for Sullivan's Drug Store,inc is 1700965811. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Sullivan's Drug Store,inc located?

Sullivan's Drug Store,inc is located at 107 Van Voris St, Batesville, MS 38606. The listed phone number is (662) 563-7687.

What is Sullivan's Drug Store,inc'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 Sullivan's Drug Store,inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.