DR. AMBER DEANNE GRANTHAM (NPI# 1467883298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467883298 |
Entity Type | Individual |
Full Name | DR. AMBER DEANNE GRANTHAM |
Credential | PHARMACIST |
Practice Address |
93 Stonebrook Pl Target Pharmacy Jackson TN 38305-3637 |
Mailing Address |
56 Sebastian Dr Jackson TN 38305-1632 |
Practice Telephone | 7316602845 |
Mailing Telephone | 7313439559 |
Enumeration Date | 2013-12-04 |
Last Update Date | 2013-12-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
9476 | TN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255870572 | Amber Grantham | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2017-02-20 |
Street Address |
93 STONEBROOK PL TARGET PHARMACY |
City | JACKSON |
State | TN |
Zip Code | 38305-3637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992727648 | Tennessee Cvs Pharmacy LLC | Pharmacy | 93 Stonebrook Pl, Jackson, TN 38305-3637 | 2006-07-24 |
1295341782 | Marla Walker | Pharmacist | 93 Stonebrook Pl, Jackson, TN 38305-3637 | 2020-09-20 |
1114347796 | Andrew T Weatherford | Pharmacist | 93 Stonebrook Pl, Jackson, TN 38305-3637 | 2014-04-22 |
1194079566 | Mary Katherine Skinner | Pharmacist | 93 Stonebrook Pl, Jackson, TN 38305-3637 | 2012-11-06 |
1073866281 | Taylor Marie Nelson | Pharmacist | 93 Stonebrook Pl, T-0921, Jackson, TN 38305-3637 | 2012-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
Find all providers in zip 38305 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871993972 | Thomas A Webb | Pharmacist | 1500 E Woodrow Wilson Ave # Slot119, Jackson, MS 39216-5116 | 2014-08-26 |
1093986259 | Julie Searfoss George | Pharmacist | 350 West Woodrow Wilson Boulevard, Jackson, MS 39213 | 2008-03-17 |
1801418843 | Jamie Wagner | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-05-13 |
1124666300 | Henderson Delmar Warnock IIi | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2019-12-18 |
1174933436 | Haritha Natla | Pharmacist | 3333 E Michigan Ave, Jackson, MI 49202-3853 | 2014-05-07 |
1477963890 | James Cheney | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2014-05-07 |
1275943920 | Pamela Jean Rose | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2014-05-03 |
1477963106 | Renee Moran | Pharmacist | 3333 E Michigan Ave, Jackson, MI 49202-3853 | 2014-05-02 |
1972871895 | Tiawana Ware Alexander | Pharmacist | 3445 Terry Rd, Jackson, MS 39212-4956 | 2011-12-06 |
1902174022 | Mark Dewitt Allen | Pharmacist | 3445 Terry Rd, Jackson, MS 39212-4956 | 2011-12-03 |
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.