Organization Active NPI

Invictus RX LLC

Doing business as Invictus Rx

  • Community/Retail Pharmacy
  • Ridgeland, MS
National Provider Identifier
1417482258
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15532 Issued in MS
Legal business name
INVICTUS RX LLC
Doing business as
Invictus Rx
Practice address
104 Business Park Dr Ste D-E
Ridgeland, MS 39157-6017
Phone
(601) 944-2928
Fax
(600) 944-2928
NPI assigned
May 1, 2017
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Jennifer Sartain
Title
Managing Member
Phone
(601) 944-2927

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15532 MS Primary

Addresses

Primary practice location

104 Business Park Dr Ste D-E
Ridgeland, MS 39157-6017

Mailing address

104 Business Park Dr
Suite D-E
Ridgeland, MS 39157-6017
Phone (601) 944-2928

Other identifiers 2

IdentifierTypeStateIssuer
2169108OtherPK
5005520MedicaidMS

Other names 1

  • Invictus Rx Doing business as

National Provider Directory

National Provider Directory

Locations

104 Business Park Dr
Ste De
Ridgeland, MS 39157
Phone (601) 944-2928

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1417482258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BUSINESS PARK DR",
            "address_2": "SUITE D-E",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576017",
            "telephone_number": "601-944-2928",
            "fax_number": "600-944-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BUSINESS PARK DR STE D-E",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576017",
            "telephone_number": "601-944-2928",
            "fax_number": "600-944-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SARTAIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-944-2927"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "15532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169108",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5005520",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invictus Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • 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.