JESSICA LOGAN (NPI# 1417306556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417306556 |
| Entity Type | Individual |
| Full Name | JESSICA LOGAN |
| Credential | PHARM.D. |
| Practice Address |
1800 Highway 45 N Columbus MS 39705-2110 |
| Practice Telephone | 6623276138 |
| Practice Fax Number | 6623299271 |
| Mailing Telephone | 6623276138 |
| Mailing Fax Number | 6623299271 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 010450 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124492863 | Jessica Anne Logan | Case Manager/Care Coordinator | 1522 Michael St, Emmett, ID 83617-9442 | 2015-11-18 |
| 1306179742 | Jessica M. Logan | Speech-Language Pathologist | 3 Springbrook Dr, North Chili, NY 14514-1220 | 2009-09-17 |
| 1528514015 | Jessica Logan | Case Manager/Care Coordinator | 1513 Line Ave Ste 315, Shreveport, LA 71101 | 2016-08-25 |
| 1033562558 | Jessica Logan | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2016-07-20 |
| 1356628689 | Jessica Logan | Social Worker | 89-195 Farrington Hwy, Waianae, HI 96792-4102 | 2011-11-15 |
| 1083841134 | Jessica Logan | Internal Medicine | 50 Irving St Nw, Medical Service Office, Washington, DC 20422-0001 | 2009-06-16 |
| 1205075488 | Jessica Lynn Logan | Counselor | 76 Church St, Whitinsville, MA 01588-1464 | 2009-02-12 |
| 1255499570 | Jessica Lee Logan | Dentist | 11 Kiel Ave, Kinnelon, NJ 07405-2549 | 2006-12-06 |
| Street Address |
1800 HIGHWAY 45 N |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871891911 | Jessica Yarber Johnston | Pharmacist | 1800 Highway 45 N, Columbus, MS 39705-2110 | 2011-03-13 |
| 1164945176 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1800 Highway 45 N, Columbus, MS 39705-2110 | 2017-07-21 |
| 1245645217 | Ashley Barnes | Pharmacist | 1800 Highway 45 N, Columbus, MS 39705-2110 | 2014-06-27 |
| 1952691487 | Jerry Matthew Fortenberry | Pharmacist | 1800 Highway 45 N, Columbus, MS 39705-2110 | 2011-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| 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 |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1225663602 | Farzaneh Gyurcsik | Pharmacist | 2826 Doncaster Rd, Columbus, OH 43221-3034 | 2020-03-06 |
| 1396386421 | Erin Petersen | Pharmacist | 3535 Olentangy River Rd Ste Y1322, Columbus, OH 43214-3908 | 2019-09-30 |
| 1659927945 | Nicholas D Keller | Pharmacist | 181 Taylor Ave Ste Tg135, Columbus, OH 43203-1779 | 2019-08-13 |
| 1942854005 | Eric Obeng | Pharmacist | 2575 S Hamilton Rd, Columbus, OH 43232-4964 | 2019-07-27 |
| 1518421015 | Andrew Carlisle Milner | Pharmacist | 5445 N. High St, Columbus, OH 43214-1129 | 2019-01-29 |
| 1598247371 | Alyssa Marie Gaietto | Pharmacist | 460 W 10th Ave Rm C150d, Columbus, OH 43210-1240 | 2018-08-29 |
| 1851879209 | Lauren R. Vergara | Pharmacist | 410 W 10th Avenue, 368 Doan Hall, Columbus, OH 43215-2447 | 2018-07-29 |
| 1992282081 | Ali Mohamed | Pharmacist | 3949 Hoffman Valley Dr, Columbus, OH 43219-8111 | 2018-07-23 |
| 1417433467 | Jon Theodore Mcclymont | Pharmacist | 1599 Alum Creek Dr, Columbus, OH 43209-2596 | 2018-07-12 |
| Find all providers in COLUMBUS | ||||
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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.