MR. KENNETH DALE HARRELSON (NPI# 1144239344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144239344 |
| Entity Type | Individual |
| Full Name | MR. KENNETH DALE HARRELSON |
| Credential | RPH |
| Practice Address |
504 West Main Street Ste 1 West Point MS 39773-2759 |
| Mailing Address |
1213 Oak Drive West Point MS 39773-3929 |
| Practice Telephone | 6624944748 |
| Practice Fax Number | 6624942565 |
| Mailing Telephone | 6624944748 |
| Mailing Fax Number | 6624942565 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E5522 | MS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00091456 | 05 | |
| MS | MABP | 2515483 | 01 |
| Street Address |
504 WEST MAIN STREET STE 1 |
| City | WEST POINT |
| State | MS |
| Zip Code | 39773-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1548809833 | Karen Annabelle Cuesta | Physical Therapist | 1122 N. Eshman Avenue, West Point, MS 39773 | 2020-01-03 |
| 1235780784 | Kimberly Kay Patterson | Pharmacist | 5509 Us-45 Alt S, West Point, MS 39773 | 2019-09-26 |
| 1821584673 | Amber L Brasfield | Nurse Practitioner | 5713 Hwy 45 Alt S, West Point, MS 39773 | 2018-07-05 |
| 1285185322 | Jordana Baker | Pharmacist | 5509 Highway 45 Alternate, West Point, MS 39773 | 2016-10-24 |
| 1144685900 | Renal Care Group Tupelo, LLC | Clinic/Center | 1612 West Church Hill Road, West Point, MS 39773 | 2015-12-22 |
| 1326437864 | Amber Orman | Behavioral Analyst | 222 Mary Holmes Drive, West Point, MS 39773 | 2015-01-22 |
| 1972945780 | Point City Drugs LLC | Pharmacy | 7683 Highway 45 Alt N, West Point, MS 39773 | 2013-07-22 |
| 1932409083 | Barbrette A. Baldwin | Obstetrics & Gynecology | 373 Medical Center Cir, West Point, MS 39773 | 2010-10-22 |
| 1801112115 | Dawn M Holmes | Counselor | 223 Court St, West Point, MS 39773 | 2010-04-12 |
| Find all providers in zip 39773 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487907 | Nancy Heyer Miles | Pharmacist | 5509 Highway 45 Alt S, West Point, MS 39773-0413 | 2020-11-04 |
| 1235780784 | Kimberly Kay Patterson | Pharmacist | 5509 Us-45 Alt S, West Point, MS 39773 | 2019-09-26 |
| 1285185322 | Jordana Baker | Pharmacist | 5509 Highway 45 Alternate, West Point, MS 39773 | 2016-10-24 |
| 1710430566 | Meghan Lee Haynes | Pharmacist | 3970 Camellia Dr, West Point, VA 23181-9358 | 2016-07-28 |
| 1437550282 | Hien Nguyen | Pharmacist | 345 14th Street, West Point, VA 23181 | 2014-09-11 |
| 1477845154 | Susan Kirby Pence | Pharmacist | 345 14th St, West Point, VA 23181-1501 | 2011-05-12 |
| 1639469083 | Joanna Ellingson | Pharmacist | 14th & Main St., West Point, VA 23181 | 2011-04-19 |
| 1871772343 | Sharail Smith Lawrence | Pharmacist | 626 Swift Rd, 2nd Floor - Warrior Transition Unit, West Point, NY 10996-1900 | 2007-10-31 |
| 1144310616 | John Preston Crowder IIi | Pharmacist | 1302 Lee Street, West Point, VA 23181-1463 | 2006-10-13 |
| 1740286772 | David Glenn Miller | Pharmacist | 770 Sumneytown Pike, Wp39-250, West Point, PA 19486-0004 | 2005-06-23 |
| Find all providers in WEST POINT | ||||
| City | WEST POINT |
| Zip Code | 39773 |
Please comment or provide details below to improve the information on MR. KENNETH DALE HARRELSON.
| 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.