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CVS PHARMACY # 10400
NPI 1740682210
Pharmacy in Vicksburg, MS

Active since September 16, 2014
1435 N. FRONTAGE RD, VICKSBURG, MS 39180(601) 661-9652 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy # 10400 NPPES

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

CVS PHARMACY # 10400 (NPI 1740682210) is a healthcare organization registered as a pharmacy in Vicksburg, Mississippi and active in the NPI registry since September 2014. The organization lists Susan F Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1740682210
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMISSISSIPPI CVS PHARMACY LLC
Location Address1435 N. FRONTAGE RDVicksburg, MS 39180-5170
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(601) 661-9652
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector · (401) 765-1500
Enumeration DateSeptember 16, 2014
Last NPPES UpdateApril 6, 2015
✔ NPI 1740682210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1435 N. FRONTAGE RD, Vicksburg, MS 39180
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Other Names 1

Doing Business AsCvs Pharmacy # 10400

Other Identifiers 4

Medicaid09752075 RXMS
Medicare NSC5983700052MS
Other2589907MS · Ncpdp
Medicare PIN302G735488MS

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 ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
236 services235 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
159 services159 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
67 services67 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

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 Mississippi CVS Pharmacy LLC's NPI number?

The NPI number for Mississippi CVS Pharmacy LLC is 1740682210. It was assigned to this organization in the NPPES registry on September 16, 2014. The provider is doing business as CVS Pharmacy # 10400.

Where is Mississippi CVS Pharmacy LLC located?

Mississippi CVS Pharmacy LLC is located at 1435 N. Frontage Rd, Vicksburg, MS 39180. The listed phone number is (601) 661-9652.

What is Mississippi CVS Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Mississippi CVS 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 38 other insurers list Mississippi CVS 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 Mississippi CVS Pharmacy LLC was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.