OrganizationActive
Ellisville Drug Acquisition Co.
NPI 1396829438 · Community/Retail Pharmacy · Ellisville, MS
Ellisville Drug Acquisition Co. is a Community/Retail Pharmacy organization in Ellisville, MS (NPI 1396829438).
Provider details
- NPI number
- 1396829438
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Deborah Keaveny, Contracting Manager(612) 227-7811
- License
- 00140011 (MS)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
915 Hill St
Ellisville, MS 39437-2419
Phone: (601) 477-3573
Fax: (601) 477-3572
Street-level locationGet directions
Mailing address
803 Highway 71 N
Mena, AR 71953-4367
Other names (DBA / former)
- Doing business as
- Ellisville Drug
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2010-04-27
Frequently asked questions
- What is Ellisville Drug Acquisition Co.'s NPI number?
- Ellisville Drug Acquisition Co.'s National Provider Identifier (NPI) is 1396829438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellisville Drug Acquisition Co.?
- Ellisville Drug Acquisition Co. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Ellisville Drug Acquisition Co. located?
- Ellisville Drug Acquisition Co.'s practice location on file with NPPES is 915 Hill St, Ellisville, MS 39437-2419.
- What is Ellisville Drug Acquisition Co.'s phone number?
- The practice phone number listed in the NPPES registry for Ellisville Drug Acquisition Co. is (601) 477-3573.
- Who is the authorized official for Ellisville Drug Acquisition Co.?
- The authorized official listed on Ellisville Drug Acquisition Co.'s NPPES record is Deborah Keaveny, Contracting Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellisville Drug Acquisition Co.'s NPI active?
- Yes — Ellisville Drug Acquisition Co.'s NPI (1396829438) is active in the NPPES registry as of the last update on 2010-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.