MEDICARE: BE JAY PE LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	03398	MS
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225015266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE JAY PE LTD

Provider Business Mailing Address
First Line	:	350 W WOODROW WILSON AVE STE 311
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39213-7681
Country	:	US
Telephone Number	:	601-487-2281
Fax Number	:	601-362-6325

Provider Business Practice Location Address
First Line	:	350 W WOODROW WILSON AVE STE 311
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39213-7681
Country	:	US
Telephone Number	:	601-487-2281
Fax Number	:	601-362-6325

Authorized Official
Title or Position	:	MANAGER OWNER
Name	:	MRS. BEVERLY H WILLIAMS
Credential	:	PHARM D
Telephone Number	:	601-859-0050

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	05/15/2025

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Directions to “BE JAY PE LTD ” Practice Location

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