MS. WENDY M. JACKSON (NPI# 1407034390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407034390 |
| Entity Type | Individual |
| Full Name | MS. WENDY M. JACKSON |
| Credential | RPH |
| Practice Address |
11085 Little Patuxent Pkwy Columbia MD 21044-2983 |
| Practice Telephone | 4109971600 |
| Practice Fax Number | 4109974732 |
| Mailing Telephone | 4109971600 |
| Mailing Fax Number | 4109974732 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13597 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309900 | Wendy Anne Jackson | Registered Nurse | 5 Thompson Inn Rd, South Bristol, ME 04568-4300 | 2019-08-01 |
| 1720367584 | Wendy Lynn Jackson | Registered Nurse | 2213 Mermaid Cir, Rowlett, TX 75088-1875 | 2011-08-11 |
| 1740500586 | Wendy Pamela Jackson | Licensed Practical Nurse | 135 Shonnard Pl, 1st Floor, Yonkers, NY 10703-2222 | 2010-06-03 |
| 1245630086 | Wendy Jackson | Case Manager/Care Coordinator | 718 Alcoa Rd, Benton, AR 72015-3406 | 2014-08-29 |
| 1093082901 | Wendy Marie Jackson | Pharmacist | 1507 W 51st St, Sioux Falls, SD 57105-6648 | 2011-11-20 |
| 1881857886 | Wendy Lee Jackson | Obstetrics & Gynecology | 800 Rose St, Chandler Medical Center-ob/gyn, Lexington, KY 40536 | 2008-07-09 |
| Street Address |
11085 LITTLE PATUXENT PKWY |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750541 | Francis Chuidian | Internal Medicine | 11085 Little Patuxent Pkwy, Suite 202, Columbia, MD 21044-2983 | 2005-06-16 |
| 1851708150 | Jodi Yatto | Speech-Language Pathologist | 11085 Little Patuxent Pkwy, Suite 101, Columbia, MD 21044-2983 | 2014-07-18 |
| 1568730414 | Columbia Patient Care Associates, LLC | Internal Medicine | 11085 Little Patuxent Pkwy, Medical Arts Bldg - Ste L001, Columbia, MD 21044-2983 | 2011-12-07 |
| 1730405283 | Jessica Ann Cronin | Anesthesiology | 11085 Little Patuxent Pkwy, Medical Arts Bldg, 004, Columbia, MD 21044-2983 | 2010-04-08 |
| 1457516940 | Physical Therapy Partners, Incorporated | Clinic/Center | 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044-2983 | 2008-07-23 |
| 1235317249 | Alan Goldstein | Pharmacist | 11085 Little Patuxent Pkwy, Columbia, MD 21044-2983 | 2008-02-01 |
| 1053508598 | Sheetal Patel | Physical Therapist | 11085 Little Patuxent Pkwy, Physical Therapy Partners, Suite 207, Columbia, MD 21044-2983 | 2007-09-28 |
| 1154512549 | Zeenat Nadeem Hashmi | Family Medicine | 11085 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2983 | 2007-08-09 |
| 1578771606 | Jo-hsin Chen | Psychiatry & Neurology | 11085 Little Patuxent Pkwy, Suite 212, Columbia, MD 21044-2983 | 2007-05-21 |
| 1326257080 | Rashida Stevenson | Student in an Organized Health Care Education/Training Program | 11085 Little Patuxent Pkwy, Suite 212, Columbia, MD 21044-2983 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| 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 |
|---|---|---|---|---|
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1821640046 | Maximilian Pettis | Pharmacist | 8940 Old Annapolis Rd Ste B, Columbia, MD 21045-2129 | 2019-07-09 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1578022513 | Nara Lee | Pharmacist | 525 Wotan Rd, Columbia, SC 29229-3347 | 2019-03-19 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1689149791 | Ashton Preslar | Pharmacist | 612 Whaley St Apt 135, Columbia, SC 29201-6323 | 2018-10-05 |
| 1013490390 | Crystal Cierra Graves | Pharmacist | 1 Windsor Cv Ste 306-2, Columbia, SC 29223-1833 | 2018-09-12 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| Find all providers in COLUMBIA | ||||
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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.