OrganizationActive
Ellisville State School
NPI 1578668901 · Long Term Care Pharmacy · Ellisville, MS
Ellisville State School is a Long Term Care Pharmacy organization in Ellisville, MS (NPI 1578668901).
Provider details
- NPI number
- 1578668901
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Patti Welch, Phcy Dir(601) 477-5784
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1101 Highway 11 S
Ellisville, MS 39437-4443
Phone: (601) 477-5785
Fax: (601) 477-5687
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Highway 11 S
Ellisville, MS 39437-4443
Other names (DBA / former)
- Doing business as
- Ellisville State School Pharmacy
- Doing business as
- Ellisville State School Pharmacy
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2019-12-17
- Certified
- 2019-12-17
Frequently asked questions
- What is Ellisville State School's NPI number?
- Ellisville State School's National Provider Identifier (NPI) is 1578668901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellisville State School?
- Ellisville State School is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Ellisville State School located?
- Ellisville State School's practice location on file with NPPES is 1101 Highway 11 S, Ellisville, MS 39437-4443.
- What is Ellisville State School's phone number?
- The practice phone number listed in the NPPES registry for Ellisville State School is (601) 477-5785.
- Who is the authorized official for Ellisville State School?
- The authorized official listed on Ellisville State School's NPPES record is Patti Welch, Phcy Dir. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellisville State School's NPI active?
- Yes — Ellisville State School's NPI (1578668901) is active in the NPPES registry as of the last update on 2019-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.