OrganizationActive
University Pavilion Pharmacy
NPI 1417090093 · Clinic Pharmacy · Jackson, MS
University Pavilion Pharmacy is a Clinic Pharmacy organization in Jackson, MS (NPI 1417090093).
Provider details
- NPI number
- 1417090093
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Cobb, Pharmacy Supervisor(601) 984-2058
- License
- 02188 (MS)
Specialties & taxonomies
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
1410 E Woodrow Wilson Dr
Jackson, MS 39216
Phone: (601) 984-2058
Fax: (601) 984-2063
Street-level locationGet directions
Mailing address
1410 E Woodrow Wilson Dr
Jackson, MS 39216
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2007-09-07
Frequently asked questions
- What is University Pavilion Pharmacy's NPI number?
- University Pavilion Pharmacy's National Provider Identifier (NPI) is 1417090093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is University Pavilion Pharmacy?
- University Pavilion Pharmacy is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is University Pavilion Pharmacy located?
- University Pavilion Pharmacy's practice location on file with NPPES is 1410 E Woodrow Wilson Dr, Jackson, MS 39216.
- What is University Pavilion Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for University Pavilion Pharmacy is (601) 984-2058.
- Who is the authorized official for University Pavilion Pharmacy?
- The authorized official listed on University Pavilion Pharmacy's NPPES record is Susan Cobb, Pharmacy Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is University Pavilion Pharmacy's NPI active?
- Yes — University Pavilion Pharmacy's NPI (1417090093) is active in the NPPES registry as of the last update on 2007-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.