DR. MIRANDA HULETT JACKSON


Address: 711 Campbell Ln, Bowling Green, KY 42104-1040
Phone: 2708432383

DR. MIRANDA HULETT JACKSON (NPI# 1306145867) 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) 1306145867
Entity Type Individual
Full Name DR. MIRANDA HULETT JACKSON
Credential PHARM D
Practice Address 711 Campbell Ln
Bowling Green
KY 42104-1040
Practice Telephone 2708432383
Practice Fax Number 2707838687
Mailing Telephone 2708432383
Mailing Fax Number 2707838687
Enumeration Date 2011-03-23
Last Update Date 2011-03-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist 0000033743 TN Pharmacy Service Providers
Y 183500000X Pharmacist 014548 KY Pharmacy Service Providers

Other Providers MIRANDA JACKSON

NPI Name Taxonomy Address Enumeration
1447888243 Miranda Jackson Registered Nurse 1418 Hampton Park Ln, Melbourne, FL 32940-8143 2020-03-29
1215592225 Miranda C Jackson Technician, Pathology 16318 Espinosa Dr, Houston, TX 77083-2812 2019-05-06
1922355460 Miranda Beth Jackson Social Worker 89 W Fayette St, Uniontown, PA 15401-3253 2012-08-14
1750683447 Miranda Jean Jackson Counselor 55981 E Colfax Ave, Strasburg, CO 80136-8014 2010-12-01

Office Location

Street Address 711 CAMPBELL LN
City BOWLING GREEN
State KY
Zip Code 42104-1040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376577197 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 711 Campbell Ln, Bowling Green, KY 42104-1040 2006-07-10
1316570484 Christina Turner Pharmacist 711 Campbell Ln, Bowling Green, KY 42104-1040 2020-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
Find all providers in zip 42104

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
1962003491 Devin Ashley Inbody Pharmacist 131 W Gypsy Lane Rd, Bowling Green, OH 43402-4503 2020-11-02
1356968200 Gary Mcguffey Pharmacist 4863 Scottsville Rd Ste A, Bowling Green, KY 42104-7949 2020-06-26
1205476561 Emily Nell Conner Pharmacist 350 West Us 31 Bypass, Bowling Green, KY 42101 2020-01-14
1730738055 Mostafa Moarefian Pharmacist 104 West Broaddus Avenue, Bowling Green, VA 22427-1157 2019-09-09
1316592017 Danielle Urbaniak Pharmacist 722-740 South Main St, Bowling Green, OH 43402 2019-08-08
1801355615 Sonia Ann Brujic Pharmacist 970 W Wooster St Rm 121, Bowling Green, OH 43402-2651 2019-03-19
1346711603 Michelle Kirsten Conely Pharmacist 11093 Sw Lewis Memorial Dr, Bowling Green, VA 22427-2174 2018-12-16
1598218877 Karen Deering Pharmacist 3715 Wingfield Church Rd, Bowling Green, KY 42101-8573 2016-08-03
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1033574637 Alaa Tlais Pharmacist 3028 Hunting Creek Dr, Bowling Green, KY 42104-4620 2015-12-23
Find all providers in BOWLING GREEN

Competitor

Search similar providers

City BOWLING GREEN
Zip Code 42104

Improve Information

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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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