LISA KINCAID ODOM (NPI# 1174123566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174123566 |
| Entity Type | Individual |
| Full Name | LISA KINCAID ODOM |
| Practice Address |
218 Woodland Hills Dr Oxford MS 38655-9770 |
| Practice Telephone | 6628163914 |
| Mailing Telephone | 6628163914 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E8781 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598007668 | Lisa Nicole Odom | Pediatrics | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2013-03-26 |
| 1801108345 | Lisa Nichole Odom | Counselor | 2120 Alpine Blvd., 2120 Alpine Boulevard, Alpine, CA 91901 | 2010-07-13 |
| 1992988539 | Lisa Gaile Odom | Registered Nurse | 1353 N Travis St, Liberty, TX 77575-3549 | 2007-12-05 |
| Street Address |
218 WOODLAND HILLS DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-9770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1285235333 | Ann Elizabeth Sutherland | Pharmacist | 9038 Coatbridge Dr, Oxford, MS 38655-7396 | 2020-11-05 |
| 1760002158 | Rebecca Arrington | Pharmacist | 69 Red Rome Rd, Oxford, AL 36203-4886 | 2020-04-25 |
| 1144877804 | Cassandra Sullivan | Pharmacist | 502 Woodland Hills Dr, Oxford, MS 38655-9790 | 2019-08-19 |
| 1194248518 | Shena Ashley Willard | Pharmacist | 2495 Old Taylor Rd Unit 206, Oxford, MS 38655-5181 | 2017-07-18 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1659753572 | Jordan Marie Ballou | Pharmacist | 2495 Old Taylor Rd Unit 107, Oxford, MS 38655-5181 | 2015-06-27 |
| 1720492333 | Spingarn Crump | Pharmacist | 46 S 3rd St, Oxford, PA 19363-1603 | 2014-06-12 |
| 1972850485 | Stan Peter Lisewski | Pharmacist | 4 Kerski Dr, Oxford, CT 06478-1170 | 2012-08-14 |
| 1104196476 | Charles Frederick Wurth | Pharmacist | 518 Hwy 331, Oxford, MS 38655 | 2012-01-04 |
| 1255620118 | Richard Leslie Samples | Pharmacist | 4880 Us Highway 78 W, Oxford, AL 36203-6100 | 2011-03-31 |
| Find all providers in OXFORD | ||||
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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.