Northeast Mental Health-Mental Retardation Commission
NPI 1427489517 · Community/Retail Pharmacy · Tupelo, MS
Northeast Mental Health-Mental Retardation Commission is a Community/Retail Pharmacy organization in Tupelo, MS (NPI 1427489517).
Provider details
- NPI number
- 1427489517
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Van Watson, Director of Pharmacy(662) 912-5006
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Doing business as
- Lifecore Pharmacy Tupelo
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2017-04-19
Frequently asked questions
- What is Northeast Mental Health-Mental Retardation Commission's NPI number?
- Northeast Mental Health-Mental Retardation Commission's National Provider Identifier (NPI) is 1427489517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Mental Health-Mental Retardation Commission?
- Northeast Mental Health-Mental Retardation Commission is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Northeast Mental Health-Mental Retardation Commission located?
- Northeast Mental Health-Mental Retardation Commission's practice location on file with NPPES is 499 Gloster Creek Vlg Ste A3, Tupelo, MS 38801-4600.
- What is Northeast Mental Health-Mental Retardation Commission's phone number?
- The practice phone number listed in the NPPES registry for Northeast Mental Health-Mental Retardation Commission is (662) 912-5006.
- Who is the authorized official for Northeast Mental Health-Mental Retardation Commission?
- The authorized official listed on Northeast Mental Health-Mental Retardation Commission's NPPES record is Van Watson, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Mental Health-Mental Retardation Commission's NPI active?
- Yes — Northeast Mental Health-Mental Retardation Commission's NPI (1427489517) is active in the NPPES registry as of the last update on 2017-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.