DEBORAH MAGOUN ROSENBAUM (NPI# 1316585581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316585581 |
| Entity Type | Individual |
| Full Name | DEBORAH MAGOUN ROSENBAUM |
| Credential | PHARMACIST |
| Practice Address |
[email protected] 4910 I-55 North Jackson MS 39211 |
| Practice Telephone | 6013666554 |
| Practice Fax Number | 6019878382 |
| Mailing Telephone | 6013666554 |
| Mailing Fax Number | 6019878382 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2020-02-10 |
| 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 |
E-07632 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295097558 | Deborah Rosenbaum | Specialist | 549 Jarvis Ave, Far Rockaway, NY 11691-5441 | 2012-06-13 |
| 1568639276 | Deborah Rosenbaum | Psychologist | 992 Great Plain Ave, Needham, MA 02492-2561 | 2008-05-12 |
| 1538365275 | Deborah Rosenbaum | Dietitian, Registered | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2007-06-21 |
| Street Address |
[email protected] 4910 I-55 NORTH |
| City | JACKSON |
| State | MS |
| Zip Code | 39211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| 1497292239 | Advanced Dental Clinic | Dentist | 1555 E County Line Road, Jackson, MS 39211 | 2017-01-31 |
| Find all providers in zip 39211 | ||||
| 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 |
|---|---|---|---|---|
| 1679198071 | Sharon Lynn Nations | Pharmacist | 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 | 2020-06-11 |
| 1598084618 | Wanda J Keahey | Pharmacist | 3029 Lilly St, Jackson, MS 39213-7246 | 2010-05-28 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1033729918 | Ashley Michelle Williams | Pharmacist | 4910 I 55 N, Jackson, MS 39211-5401 | 2020-08-05 |
| 1336757020 | Stephanie Balsman | Pharmacist | N168w21330 Main St, Jackson, WI 53037-9636 | 2020-07-19 |
| 1356988901 | Stephen O'neal | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2019-12-03 |
| 1376180190 | Matthew Gregory Benz | Pharmacist | 1100 W Argyle St, Jackson, MI 49202-2059 | 2019-12-01 |
| 1659939759 | Charlotte Whitney White | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2019-06-03 |
| 1518328913 | Angela Renee Hamilton | Pharmacist | 1500 E Woodrow Wilson Ave, Inpatient Pharmacy - Clinical Services, Jackson, MS 39216-5116 | 2016-03-11 |
| 1609261502 | Mary Joyce Wingler | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2015-03-30 |
| Find all providers in JACKSON | ||||
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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.