NPIMap

Organization Active NPI

Delta Health System

Doing business as Delta Health - The Medical Center Specialty Pharmacy

  • Community/Retail Pharmacy
  • Greenville, MS
National Provider Identifier
1376930149
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13785/2.0
Legal business name
DELTA HEALTH SYSTEM
Doing business as
Delta Health - The Medical Center Specialty Pharmacy
Practice address
1400 E Union St
Greenville, MS 38703-3246
Phone
(662) 378-3783
Fax
(662) 334-2424
NPI assigned
Apr 20, 2015
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DELTA HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Iris Louise Stacker
Title
Ceo
Phone
(662) 725-2264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13785/2.0 Primary

Addresses

Primary practice location

1400 E Union St
Greenville, MS 38703-3246

Mailing address

PO Box 5247
Greenville, MS 38704-5247
Phone (662) 378-3783

Other names 2

  • Delta Health - The Medical Center Specialty Pharmacy Doing business as
  • Delta Health Specialty Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901000133 MS Part B Supplier - Pharmacy 0042208787 Practice locations: Greenville, MS

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Adams Clausen Patholo9 organizations share this tax ID, including this one
Part of
Adams Clausen Patholo

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1314 Hospital St
Greenville, MS 38703
Phone (662) 334-7747

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Delta Health-the Medical Center (Ip Rehab)Greenville, MS, CCN 25T082 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1984
Delta Health-the Medical CenterGreenville, MS, CCN 257098 Home health agency 5% Or Greater Direct Ownership Interest Nov 24, 1975
Delta Health - the Medical Center (Hospice)Greenville, MS, CCN 251538 Hospice 5% Or Greater Direct Ownership Interest Nov 24, 1975
Delta Health SystemGreenville, MS, CCN 253461 Rural health clinic Operational/Managerial Control (100%) Jun 10, 1996

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Delta Health System

    dba Delta Health-The Medical Center

    • Community Based Hospice Care Agency
    • Greenville, MS
    • NPI 1295822575

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Delta Health System

    dba Delta Health-The Medical Center

    • Rural Health Clinic/Center
    • Greenville, MS
    • NPI 1366592610

    Operational/Managerial Control

    CMS ownership
  • Delta Health System

    dba Delta Health-The Medical Center

    • Home Health Agency
    • Greenville, MS
    • NPI 1477651362

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Delta Health System

    dba Delta Health-The Medical Center

    • Rehabilitation Hospital Unit
    • Greenville, MS
    • NPI 1760567168

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1376930149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5247",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045247",
            "telephone_number": "662-378-3783",
            "fax_number": "662-334-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033246",
            "telephone_number": "662-378-3783",
            "fax_number": "662-334-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELTA HEALTH SYSTEM",
        "enumeration_date": "2015-04-20",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "STACKER",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-725-2264"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": "13785/2.0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Health - The Medical Center Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta Health Specialty Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.