BAZE PHARMACY LLC (NPI# 1265921613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265921613 |
| Entity Type | Organization |
| Organization Name | BAZE PHARMACY LLC |
| Other Organization Name | BAZE PHARMACY DSMT |
| Practice Address |
900 Stark Rd Starkville MS 39759-3613 |
| Practice Telephone | 6623235033 |
| Practice Fax Number | 6623235053 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | ATHELIA BALAMS EZE (OWNER) |
| Authorized Official Telephone | 6623235033 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAZE PHARMACY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| BAZE Pharmacy DSMT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689029951 | Baze Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1526 E Forrest Ave Ste 102, East Point, GA 30344-6979 | 2016-04-25 |
| 1154616084 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd Ste 2, Starkville, MS 39759-3613 | 2011-06-20 |
| 1073628004 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-08-20 |
| 1457668246 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-09-01 |
| Street Address |
900 STARK RD |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073628004 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-08-20 |
| 1497389902 | Lydia Ruth Rice | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2020-02-24 |
| 1992273072 | Ernestine Ivy | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-11-07 |
| 1699262089 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-04-20 |
| 1609117514 | Mae Palina Clark | Dietitian, Registered | 900 Stark Rd, Starkville, MS 39759-3613 | 2013-03-04 |
| 1457668246 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-09-01 |
| 1053633677 | Iyabo O Adebiyi | Registered Nurse | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-02-23 |
| 1316040264 | Felicia Deloris Edwards | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| 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 |
|---|---|---|---|---|
| 1821306374 | Adrienne L Outlaw | Pharmacist | 605 S Jackson St, Starkville, MS 39759-3353 | 2010-09-17 |
| 1316954001 | Athelia Balams Eze | Pharmacist | 105 Strange Rd, Starkville, MS 39759-2539 | 2006-08-02 |
| 1881294437 | Royce Vandiver Miles Sr. | Pharmacist | 1010 Highway 12 W, Starkville, MS 39759-9167 | 2020-10-31 |
| 1649870015 | Lore Day | Pharmacist | 105 Market St, Starkville, MS 39759-4270 | 2020-10-27 |
| 1093315475 | Angela Nicole Winders | Pharmacist | 105 Market St, Starkville, MS 39759-4270 | 2020-10-27 |
| 1053952945 | Benjamin Tucker | Pharmacist | 400 Hospital Rd, Starkville, MS 39759-2163 | 2019-10-02 |
| 1891277349 | Ashley B Klipstein | Pharmacist | 223 S Jackson St, Starkville, MS 39759-3358 | 2018-08-31 |
| 1881101574 | William Bryant Pender IIi | Pharmacist | 105 Market St, Starkville, MS 39759 | 2018-01-04 |
| 1063921112 | Toni Bynum | Pharmacist | 220 Highway 12 W, Starkville, MS 39759-3762 | 2017-09-21 |
| 1083132138 | William Pleasant Portera | Pharmacist | 223 S Jackson St, Starkville, MS 39759-3358 | 2017-09-08 |
| Find all providers in STARKVILLE | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
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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.