JASON MICHAEL BOUVIER (NPI# 1104391085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104391085 |
| Entity Type | Individual |
| Full Name | JASON MICHAEL BOUVIER |
| Credential | CPHT |
| Practice Address |
1720a Medical Park Dr Ste 160 Biloxi MS 39532-2135 |
| Practice Telephone | 2282077716 |
| Practice Fax Number | 2282079598 |
| Mailing Telephone | 2282077716 |
| Mailing Fax Number | 2282079598 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 213791 | MS | Pharmacy Service Providers |
| Street Address |
1720A MEDICAL PARK DR STE 160 |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522756 | Benzer Ms 1 LLC | Pharmacy | 1720a Medical Park Dr Ste 160, Biloxi, MS 39532-2135 | 2015-03-09 |
| 1841777638 | Diane Morris | Pharmacist | 1720a Medical Park Dr Ste 160, Biloxi, MS 39532-2135 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218733 | Morgan Elizabeth Coe | Pharmacy Technician | 22 Hunt Ln, Potts Camp, MS 38659-9247 | 2020-06-05 |
| 1013925122 | Polk's Crossgates Discount Drugs Inc. | Pharmacy Technician | 319 Cross Park Dr, Jackson, MS 39208-8905 | 2006-08-04 |
| 1316576770 | Sheteria Necole Grays | Pharmacy Technician | 2209 Highway 11 N, Picayune, MS 39466-2065 | 2020-04-07 |
| 1225563273 | Lisa Monk | Pharmacy Technician | 219 N Woodland Dr, Forest, MS 39074-3307 | 2017-04-27 |
| 1639520125 | Andrea Johns | Pharmacy Technician | 218 Caldwell Dr, Hazlehurst, MS 39083-2712 | 2016-06-25 |
| 1528416229 | Jessica Johnson | Pharmacy Technician | 110 Metroplex Blvd, Suite H, Pearl, MS 39208-9210 | 2016-06-03 |
| 1235519588 | Katherine Parker | Pharmacy Technician | 2801 W Main St, Tupelo, MS 38801-3001 | 2015-06-02 |
| 1487041851 | Adrian Ford | Pharmacy Technician | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2015-04-22 |
| 1174917991 | Christopher Johnson | Pharmacy Technician | 738 S Gloster St, Tupelo, MS 38801-4932 | 2015-03-19 |
| 1992047625 | Kimberly Nicole Drummer- Hosey | Pharmacy Technician | 419 N 16th Ave, Laurel, MS 39440-3850 | 2013-03-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.