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Mississippi Cvs Pharmacy Llc

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NPI Number Detailed Information

Provider Information:

Name: Mississippi Cvs Pharmacy Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1174798417
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 4/28/2008

Last Update Date: 10/25/2011

Provider Business Mailing Address:

Address: 1 CVS DR BOX 1075- PHARMACY ENROLLMENTS
Woonsocket, RI 02895
Phone Number: 4017651500
Fax Number: 4017707108

Provider Business Practice Location Address:

Address: 6040 GOODMAN RD
Walls, MS 38680
Phone Number: 4017651500
Fax Number:

Provider Taxonomy:

Primary: 332B00000X
Secondary (if any): 3336C0003X
State: MS

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About Mississippi Cvs Pharmacy Llc

Mississippi Cvs Pharmacy Llc ( MISSISSIPPI CVS PHARMACY LLC ) is A Durable Medical Equipment & Medical Supplies Provider in Walls, MS. The NPI Number for Mississippi Cvs Pharmacy Llc is 1174798417.
The current location address for Mississippi Cvs Pharmacy Llc is 6040 GOODMAN RD Walls, MS 38680 and the contact number is 4017651500 and fax number is 4017707108. The mailing address for Mississippi Cvs Pharmacy Llc is 1 CVS DR BOX 1075- PHARMACY ENROLLMENTS Woonsocket, RI 02895- 4017651500 (mailing address contact number - 4017651500).
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mississippi Cvs Pharmacy Llc ?


Answer: The NPI Number for Mississippi Cvs Pharmacy Llc is 1174798417

Where is Mississippi Cvs Pharmacy Llc located?


Answer: Mississippi Cvs Pharmacy Llc is located at 6040 GOODMAN RD Walls, MS 38680.

What is the specialty for Mississippi Cvs Pharmacy Llc ?


Answer: The Specialty of Mississippi Cvs Pharmacy Llc is A Durable Medical Equipment & Medical Supplies Provider.

Are there any online reviews for Mississippi Cvs Pharmacy Llc ?


Answer: Not yet!

Are there any other health care providers in Walls, MS?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Mississippi Cvs Pharmacy Llc

Number of HCPCS 12
Number of Medicare Beneficiaries 183
Number of Services 332
Total Submitted Charge Amount 16148.49
Total Medicare Allowed Amount 12443.41
Total Medicare Payment Amount 12443.41
Total Medicare Standardized Payment Amount 13519.36
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 75
Number of Drug Services 81
Total Drug Submitted Charge Amount 5730.73
Total Drug Medicare Allowed Amount 5616.93
Total Drug Medicare Payment Amount 5616.93
Total Drug Medicare Standardized Payment Amount 5504.46
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 6
Number of Medicare Beneficiaries With Medical 183
Number of Medical Services 251
Total Medical Submitted Charge Amount 10417.76
Total Medical Medicare Allowed Amount 6826.48
Total Medical Medicare Payment Amount 6826.48
Total Medical Medicare Standardized Payment Amount 8014.9
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 100
Number of Beneficiaries Age 75 to 84 52
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 99
Number of Male Beneficiaries 84
Number of Non-Hispanic White Beneficiaries 117
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 26
Number of Beneficiaries With Medicare Only Entitlement 157
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.06
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.23
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.12
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.47
Percent (%) of Beneficiaries Identified With Hypertension 0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.25
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.28
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.99

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Mississippi Cvs Pharmacy Llc
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NPI Number: 1174798417
Address: 6040 GOODMAN RD Walls, MS 38680 , Phone: 4017651500
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Ishita Pareek
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Curstin Deneen Temes
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Latrice R Spivey
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Melinda Bell
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Dr. Leon Thomas
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Address: 6040 GOODMAN RD Walls, MS 38680 , Phone: 6627811290
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Home Health Agency
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Address: 6575 ANNA MAY DR Walls, MS 38680 , Phone: 9014258201
Lakisha M Shivers
Psychiatric/Mental Health Nurse Practitioner
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Address: 6696 CASEY CV Walls, MS 38680 , Phone: 6626450484
Dr. Jasmine Kinata Minnis
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Mississippi Cvs Pharmacy Llc in Other Directories

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