MR. MILES GOODE JR.


Address: 380 W Woodrow Wilson Ave, Jackson, MS 39213-7657
Phone: 6017131130

MR. MILES GOODE JR. (NPI# 1194122283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194122283
Entity Type Individual
Full Name MR. MILES GOODE JR.
Credential RPH
Practice Address 380 W Woodrow Wilson Ave
Jackson
MS 39213-7657
Practice Telephone 6017131130
Mailing Telephone 6017131130
Enumeration Date 2014-12-04
Last Update Date 2014-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist E7716 MS Pharmacy Service Providers

Office Location

Street Address 380 W WOODROW WILSON AVE
City JACKSON
State MS
Zip Code 39213-7657

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700185576 D'andrea R Campbell Pharmacist 380 W Woodrow Wilson Ave, Jackson, MS 39213-7657 2011-03-19
1942726773 Amber Smith-bush Pharmacist 380 W Woodrow Wilson Ave, Jackson, MS 39213-7657 2017-08-14
1508389602 Walgreen Co Durable Medical Equipment & Medical Supplies 380 W Woodrow Wilson Ave, Jackson, MS 39213 2017-07-20
1457893562 Eshan Safaya Pharmacist 380 W Woodrow Wilson Ave, Jackson, MS 39213-7657 2016-11-07
1801344759 Thinh Vu Pharmacist 380 W Woodrow Wilson Ave, Jackson, MS 39213-7657 2016-09-20
1043613870 Lukas Burke Pharmacist 380 W Woodrow Wilson Ave, Jackson, MS 39213-7657 2014-10-07
1366855900 Traci Ann Lawson Pharmacist 380 W Woodrow Wilson Ave, Jackson, MS 39213-7657 2014-06-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
Find all providers in zip 39213

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841890662 Angela Shawn Bradley Pharmacist 1589 Ky Hwy 15 South, Jackson, KY 41339 2020-10-30
1871191734 Ranita Greer Pharmacist 59 Ky-15 N, Jackson, KY 41339 2020-10-13
1790398287 Haleema Saadia Pharmacist 3144 North Avenue, Jackson, TN 38305-0100 2020-08-25
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1124645965 Archis B Patel Pharmacist 6 Moet Ct, Jackson, NJ 08527-3090 2020-06-27
1417579798 Alvin Ray Stewart Sr. Pharmacist 696 Cedar Springs Dr, Jackson, MS 39212-5710 2020-05-10
1033731492 Jamie Hines Mckinley Pharmacist 1500 E Woodrow Wilson Ave Dept 119-a, Jackson, MS 39216-5116 2020-05-08
1356980643 Bethany Powers Pharmacist 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 2020-01-03
1770130650 Elizabeth Hearn Pharmacist 1345 Simwood Pl, Jackson, MS 39211-6352 2019-08-24
1306493929 Stephen Benjamin Porter Pharmacist 350 W Woodrow Wilson Ave Rm Me101-42, Jackson, MS 39213-7681 2019-08-19
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39213

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Dataset Information

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.

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