OrganizationActive
Waldrip Pharms LLC
NPI 1679623995 · Community/Retail Pharmacy · Clarksdale, MS
Waldrip Pharms LLC is a Community/Retail Pharmacy organization in Clarksdale, MS (NPI 1679623995).
Provider details
- NPI number
- 1679623995
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dena Ferman, Third Party Plan Coordinator(314) 993-6000
- License
- 0332901MC (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
425 Desoto Ave
Clarksdale, MS 38614-5214
Phone: (662) 627-0100
Fax: (662) 627-0102
Street-level locationGet directions
Mailing address
425 Desoto Ave
Clarksdale, MS 38614-5214
Other names (DBA / former)
- Doing business as
- Medicap Pharmacy
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2023-03-07
Frequently asked questions
- What is Waldrip Pharms LLC's NPI number?
- Waldrip Pharms LLC's National Provider Identifier (NPI) is 1679623995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waldrip Pharms LLC?
- Waldrip Pharms LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Waldrip Pharms LLC located?
- Waldrip Pharms LLC's practice location on file with NPPES is 425 Desoto Ave, Clarksdale, MS 38614-5214.
- What is Waldrip Pharms LLC's phone number?
- The practice phone number listed in the NPPES registry for Waldrip Pharms LLC is (662) 627-0100.
- Who is the authorized official for Waldrip Pharms LLC?
- The authorized official listed on Waldrip Pharms LLC's NPPES record is Dena Ferman, Third Party Plan Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waldrip Pharms LLC's NPI active?
- Yes — Waldrip Pharms LLC's NPI (1679623995) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.