OrganizationActive
State Line Rx LLC
NPI 1568335248 · Community/Retail Pharmacy · State Line, MS
State Line Rx LLC is a Community/Retail Pharmacy organization in State Line, MS (NPI 1568335248).
Provider details
- NPI number
- 1568335248
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mellie Hicks, Pharmacy Manager(601) 394-8064
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
194 Main St
State Line, MS 39362-9600
Phone: (601) 848-7866
Fax: (601) 848-7866
Street-level locationGet directions
Mailing address
Po Box 159
State Line, MS 39362-0159
Registry dates
- Enumerated
- 2025-09-27
- Last updated
- 2025-09-27
- Certified
- 2025-09-27
Frequently asked questions
- What is State Line Rx LLC's NPI number?
- State Line Rx LLC's National Provider Identifier (NPI) is 1568335248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Line Rx LLC?
- State Line Rx LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is State Line Rx LLC located?
- State Line Rx LLC's practice location on file with NPPES is 194 Main St, State Line, MS 39362-9600.
- What is State Line Rx LLC's phone number?
- The practice phone number listed in the NPPES registry for State Line Rx LLC is (601) 848-7866.
- Who is the authorized official for State Line Rx LLC?
- The authorized official listed on State Line Rx LLC's NPPES record is Mellie Hicks, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Line Rx LLC's NPI active?
- Yes — State Line Rx LLC's NPI (1568335248) is active in the NPPES registry as of the last update on 2025-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.