TERESA CHENAULT (NPI# 1154815587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154815587 |
Entity Type | Individual |
Full Name | TERESA CHENAULT |
Practice Address |
7427 Goodman Rd Olive Branch MS 38654-1910 |
Practice Telephone | 6628951956 |
Mailing Telephone | 6628951956 |
Enumeration Date | 2018-06-19 |
Last Update Date | 2020-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
D-07448 | MS | Pharmacy Service Providers |
Street Address |
7427 GOODMAN RD |
City | OLIVE BRANCH |
State | MS |
Zip Code | 38654-1910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013941897 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 7427 Goodman Rd, Olive Branch, MS 38654-1910 | 2006-07-10 |
1740699271 | Little Clinic of Mississippi LLC | Nurse Practitioner | 7427 Goodman Rd, Olive Branch, MS 38654 | 2014-08-08 |
1154618007 | William Anthony Frost | Pharmacist | 7427 Goodman Rd, Olive Branch, MS 38654-1910 | 2011-06-29 |
1932495934 | Kevin Scott Winter | Pharmacist | 7427 Goodman Rd, Olive Branch, MS 38654-1910 | 2011-06-28 |
1558657486 | Melissa J Ince | Pharmacist | 7427 Goodman Rd, Olive Branch, MS 38654-1910 | 2011-06-20 |
1841507068 | Melissa R Wasson | Pharmacist | 7427 Goodman Rd, Olive Branch, MS 38654-1910 | 2010-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
Find all providers in zip 38654 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851678775 | Glenn Allen Adair | Pharmacist | 6958 Goodman Rd, Olive Branch, MS 38654-7034 | 2011-11-05 |
1154618007 | William Anthony Frost | Pharmacist | 7427 Goodman Rd, Olive Branch, MS 38654-1910 | 2011-06-29 |
1558657486 | Melissa J Ince | Pharmacist | 7427 Goodman Rd, Olive Branch, MS 38654-1910 | 2011-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
1326686932 | Joshua Brett Manning | Pharmacist | Kroger, 2340 Highway 15 N, Laurel, MS 39440-1831 | 2019-12-13 |
1023585296 | Brenda M Wise | Pharmacist | 301 Fisher St # 2b, Biloxi, MS 39534-2508 | 2018-10-25 |
1508311028 | Koshy Mathew | Pharmacist | 122 Mcdill Cv, Madison, MS 39110-6562 | 2016-08-25 |
1992106413 | Roland Mullins Jr. | Pharmacist | 301 Fisher St Rm 309b, Keesler Afb, MS 39534-2508 | 2014-09-16 |
1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
1912333956 | Carman G Cochran | Pharmacist | 68 Buffalo Rd, Mc Lain, MS 39456-2330 | 2013-09-23 |
1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
1578833299 | April Malone | Pharmacist | 208 S 27th Ave, Hattiesburg, MS 39401-7173 | 2012-01-11 |
Find all providers with the same taxonomy |
City | OLIVE BRANCH |
Zip Code | 38654 |
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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.