MS STATE DEPT OF HEALTH PHARMACY (NPI# 1457505315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457505315 |
| Entity Type | Organization |
| Organization Name | MS STATE DEPT OF HEALTH PHARMACY |
| Practice Address |
3156 Lawson St Jackson MS 39213-5754 |
| Practice Telephone | 6017133457 |
| Practice Fax Number | 6013642670 |
| Mailing Telephone | 6017133457 |
| Mailing Fax Number | 6013642670 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MR. TRAVIS L REEVES (ASST DIRECTOR) |
| Authorized Official Telephone | 6017133457 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 01085 05.1 | MS | Agencies |
| Street Address |
3156 LAWSON ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767933 | Sandy Renee Dickens | Pharmacist | 3156 Lawson St, Jackson, MS 39213-5754 | 2007-01-22 |
| 1326452749 | Alicia Harper Ball | Pharmacist | 3156 Lawson St, Jackson, MS 39213-5754 | 2014-06-13 |
| 1952525842 | Ms State Dept of Health | Pharmacy | 3156 Lawson St, Jackson, MS 39213-5754 | 2007-04-12 |
| 1770707663 | Ms State Dept of Health | Durable Medical Equipment & Medical Supplies | 3156 Lawson St, Jackson, MS 39213-5754 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024747 | Second Chance Outreach Learning Center | Public Health or Welfare | 4807 N State St Ste 407, Jackson, MS 39206-4826 | 2020-02-07 |
| 1285155150 | Helping Hands of Middle & West Tennessee | Public Health or Welfare | 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 | 2017-06-30 |
| 1184152233 | Tier-3 Solutions, Inc. | Public Health or Welfare | 5255 Keele St Ste C, Jackson, MS 39206-4381 | 2017-06-01 |
| 1366853004 | Mississippi State Department of Health | Public Health or Welfare | 3276 Lynch St, Jackson, MS 39209-7205 | 2014-05-15 |
| 1992047278 | Burning Bush Youth & Family Intervention Center, Inc. | Public Health or Welfare | 144 Brookwood Ave, Jackson, GA 30233-1403 | 2013-03-25 |
| 1114222379 | State of Tennessee | Public Health or Welfare | 295 Summar Drive, Jackson, TN 38301 | 2011-01-20 |
| 1881890424 | Northampton County Dss | Public Health or Welfare | 9467 Nc 305 Hwy., Jackson, NC 27845 | 2007-06-21 |
| 1770637969 | Breathitt County Health Department | Public Health or Welfare | 955 Hwy. 30 West, Jackson, KY 41339-1000 | 2007-01-23 |
| 1265582415 | West Tennessee Regional Health Office Children Special Services | Public Health or Welfare | 295 Summar Ave, Jackson, TN 38301 | 2007-01-11 |
| 1376606582 | Mississipp State Department of Health | Public Health or Welfare | 3156 Lawson Street, Jackson, MS 39213 | 2006-12-18 |
| 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.