Meridian Long Term Care Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

02205/2.3 Issued in MS

Legal business name

MERIDIAN LONG TERM CARE PHARMACY

Doing business as

Meridian Long Term Care Pharmacy

Practice address

1313 22ND Ave
Meridian, MS 39301-4012

Phone

(601) 693-1635

Fax

(601) 693-1621

NPI assigned

Jul 30, 2006

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Don Waldron, RPH

Title

Owner

Phone

(601) 693-1635

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MERIDIAN LONG TERM CARE PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1073528618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014012",
            "telephone_number": "601-693-1635",
            "fax_number": "601-693-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014012",
            "telephone_number": "601-693-1635",
            "fax_number": "601-693-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN LONG TERM CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-693-1635",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "02205/2.3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030308",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERIDIAN LONG TERM CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERIDIAN LONG TERM CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meridian Hma LLC (Riley Hospital)
• Meridian Hma LLC (Riley Physician Services)
• Meridian Hma LLC (Riley Hospital)
• Meridian Imaging, PA
• Meridian Living, LLC
• Meridian Meadows LLC
• Meridian Medical Associates, PA
• Meridian Medical Equipment
• Meridian OB/GYN, PLLC
• Meridian Oncology Associates PLLC

• Long Term Care Pharmacy in Meridian, MS
• Providers in Meridian, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.