MR. MARK ALAN GRAHAM (NPI# 1417380973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417380973 |
| Entity Type | Individual |
| Full Name | MR. MARK ALAN GRAHAM |
| Credential | RPH |
| Practice Address |
4329 N State St Ste #10 Jackson MS 39206-5261 |
| Practice Telephone | 6013661449 |
| Practice Fax Number | 6013663553 |
| Mailing Telephone | 6013661449 |
| Mailing Fax Number | 6013663553 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E6023 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598265134 | Mark Graham | Behavior Technician | 1520 5th Ct, Vero Beach, FL 32960-5828 | 2018-02-20 |
| 1841798469 | Mark D Graham | Marriage & Family Therapist | 23044 Enadia Way, West Hills, CA 91307-2208 | 2018-01-29 |
| 1821265992 | Mark Laron Graham | Physical Therapy Assistant | 5617 W Silverleaf Ln, Brown Deer, WI 53223-1656 | 2008-05-08 |
| 1306461751 | Mark Edward Graham | Pharmacist | 5040 Ritter Rd, Mechanicsburg, PA 17055-4879 | 2020-06-11 |
| 1922449727 | Mark Gary Graham | Nurse Anesthetist, Certified Registered | 4901 Grande Dr, Pensacola, FL 32504-5935 | 2013-07-10 |
| 1578860508 | Mark A Graham | Counselor | 900 E Main St, Norman, OK 73071-5305 | 2011-02-28 |
| 1881876258 | Mark F Graham | Counselor | 100 South Tyler St., Suite 7-a, Covington, LA 70433 | 2007-11-28 |
| 1003989146 | Mark E Graham | Pharmacist | 818 W Havens St, Mitchell, SD 57301-3830 | 2006-11-16 |
| 1023115896 | Mark Alan Graham | Dentist | 520 La Gonda Way, Suite 102, Danville, CA 94526-1741 | 2006-09-20 |
| 1245258482 | Mark G. Graham | Internal Medicine | 2301 S Broad St, Suite 205, Philadelphia, PA 19148-3542 | 2006-07-17 |
| Street Address |
4329 N STATE ST STE #10 |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| 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 |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1124645965 | Archis B Patel | Pharmacist | 6 Moet Ct, Jackson, NJ 08527-3090 | 2020-06-27 |
| 1417579798 | Alvin Ray Stewart Sr. | Pharmacist | 696 Cedar Springs Dr, Jackson, MS 39212-5710 | 2020-05-10 |
| 1033731492 | Jamie Hines Mckinley | Pharmacist | 1500 E Woodrow Wilson Ave Dept 119-a, Jackson, MS 39216-5116 | 2020-05-08 |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1770130650 | Elizabeth Hearn | Pharmacist | 1345 Simwood Pl, Jackson, MS 39211-6352 | 2019-08-24 |
| 1306493929 | Stephen Benjamin Porter | Pharmacist | 350 W Woodrow Wilson Ave Rm Me101-42, Jackson, MS 39213-7681 | 2019-08-19 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on MR. MARK ALAN GRAHAM.
| 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.