BRITTANY FOWLER (NPI# 1346888054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346888054 |
| Entity Type | Individual |
| Full Name | BRITTANY FOWLER |
| Credential | PHARMD |
| Practice Address |
3408 Pemberton Square Blvd Vicksburg MS 39180-5573 |
| Mailing Address |
423 Evans St Vicksburg MS 39180-5415 |
| Practice Telephone | 6016304003 |
| Mailing Telephone | 0141596236 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-14963 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245896232 | Brittany Morgan Fowler | Nurse Practitioner | 2000 Sw Archer Rd Fl 3, Gainesville, FL 32608-1136 | 2019-05-15 |
| 1265864573 | Brittany Fowler | Physical Therapist | 12450 Cleveland Rd, Suite 201, Garner, NC 27529-8353 | 2013-08-08 |
| 1790123016 | Brittany Nicole Fowler | Dietitian, Registered | 4218 Avenue of The Cities, Moline, IL 61265-4544 | 2013-06-09 |
| 1942647508 | Brittany Leigh Fowler | Counselor | 5840 S Memorial Dr, Suite #111, Tulsa, OK 74145-9023 | 2013-05-22 |
| 1104174887 | Brittany Fowler | Pharmacist | 2397 Reidville Rd, Spartanburg, SC 29301-3651 | 2012-08-28 |
| Street Address |
3408 PEMBERTON SQUARE BLVD |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-5573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982817961 | Meredith Wagner | Pharmacist | 3408 Pemberton Square Blvd, Vicksburg, MS 39180-5573 | 2007-05-07 |
| 1407494198 | Josiefina Golden Burgess | Pharmacist | 3408 Pemberton Square Blvd, Vicksburg, MS 39180-5573 | 2019-12-13 |
| 1093353807 | Sarah Grace Pittman | Pharmacist | 3408 Pemberton Square Blvd, Vicksburg, MS 39180-5573 | 2019-12-12 |
| 1164670063 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3408 Pemberton Square Blvd, Vicksburg, MS 39180-5573 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| 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 |
|---|---|---|---|---|
| 1093353047 | Virginia Leo Black | Pharmacist | 6010 Castle Rd, Vicksburg, MS 39180-9310 | 2019-12-19 |
| 1245706803 | Jacenta Matthews | Pharmacist | 1435 N Frontage Rd, Vicksburg, MS 39180-5170 | 2018-10-22 |
| 1033409669 | Logan Kelley | Pharmacist | 2310 Clay St, Vicksburg, MS 39183-3123 | 2011-04-16 |
| 1225327588 | Kimberly Nicole Laws | Pharmacist | 3046 Indiana Ave, Vicksburg, MS 39180-5252 | 2011-04-06 |
| 1912132168 | Jo Lynne Kirchhoff | Pharmacist | 110 S. Main Streets, Vicksburg, MI 49097 | 2009-05-18 |
| 1770615353 | Dennis Mark Beaman | Pharmacist | 15047 Jimmy Dr, Vicksburg, MI 49097-9764 | 2007-03-10 |
| 1609952175 | Durst Discount Drugs, Inc | Pharmacist | 2122 Clay St, Vicksburg, MS 39183-3119 | 2006-10-27 |
| 1568548022 | Durst Discount Drugs, Inc. | Pharmacist | 3117 Halls Ferry Rd, Vicksburg, MS 39180-5109 | 2006-10-27 |
| 1447355607 | People's Drug Store Inc | Pharmacist | 1521 Washington St, Vicksburg, MS 39180-3539 | 2006-09-13 |
| 1467485839 | Colonial Discount Drugs | Pharmacist | 1017 Mission 66, Vicksburg, MS 39183-2753 | 2006-07-09 |
| Find all providers in VICKSBURG | ||||
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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.