FOOT SOLUTIONS LLC (NPI# 1508072273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508072273 |
Entity Type | Organization |
Organization Name | FOOT SOLUTIONS LLC |
Other Organization Name | FOOT SOLUTIONS LLC |
Practice Address |
120 Market St Woodland MS 39776-9104 |
Practice Telephone | 6624560133 |
Practice Fax Number | 6624567335 |
Mailing Telephone | 6624560133 |
Mailing Fax Number | 6624567335 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2008-07-10 |
Authorized Official Name | JERRIE SULLIVAN (OWNER) |
Authorized Official Telephone | 6624560133 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | BLUE CROSS BLUE SHIELD | 427371344B | 01 |
MS | 00440529 | 05 | |
MS | BLUE CROSS BLUE SHIELD | 425800862D | 01 |
Other Name | Type Code |
---|---|
Foot Solutions LLC | Former Legal Business Name - Organization |
Street Address |
120 MARKET ST |
City | WOODLAND |
State | MS |
Zip Code | 39776-9104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629282330 | Woodland Clinic LLC | Family Medicine | 120 Market St, Woodland, MS 39776-9104 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457409807 | Jerry Sullivan | Nurse Practitioner | 120 Market Street, Woodland, MS 39776 | 2007-01-08 |
1578081410 | Woodland Adult Center, LLC | Clinic/Center | 101 Market St, Woodland, MS 39776-9105 | 2017-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
1477150480 | Mikella Graham | Pharmacist | 3018 Shawville Hwy, Woodland, PA 16881-8700 | 2020-10-02 |
1366056798 | Rachel Riely | Speech-Language Pathologist | 240 Palm Ave, Woodland, CA 95695-2844 | 2020-09-02 |
1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
1700402237 | Woodland Care Pharmacy & Medical Supply LLC | Pharmacy | 672 Cottonwood St, Woodland, CA 95695-3615 | 2020-06-20 |
1437775202 | Northern Valley Indian Health | Clinic/Center | 1280 E Gibson Rd, Woodland, CA 95776-6315 | 2020-06-17 |
1255951117 | Ronald A Vannett | Behavior Technician | 272 Quail Dr, Woodland, CA 95695-6901 | 2020-04-21 |
1558997965 | Alder Ridge Massage and Essential Oils | Massage Therapist | 650 Goerig St, Ste E, Woodland, WA 98674-9401 | 2020-03-17 |
1770115065 | Turning Point Community Programs | Community/Behavioral Health | 520 Cottonwood St Ste 16, Woodland, CA 95695-3603 | 2020-02-05 |
1780214205 | Alexis Young | Student in an Organized Health Care Education/Training Program | 284 County Road 461, Woodland, AL 36280-5864 | 2020-01-23 |
Find all providers in WOODLAND |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417090093 | University Pavilion Pharmacy | Pharmacy | 1410 E Woodrow Wilson Dr, Jackson, MS 39216 | 2007-02-14 |
1518040500 | Region Iv Mh Mr Commission Phcy | Pharmacy | 2301b E Chambers Dr, Booneville, MS 38829 | 2006-10-23 |
1295268985 | Southern Pharmacy Clinical Management | Pharmacy | 3224 Dijon Ave, Ocean Springs, MS 39564-8520 | 2017-04-10 |
1912452921 | Sports Medicine Pharmacy LLC | Pharmacy | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-08-19 |
1689039711 | River Region Health System | Pharmacy | 2100 Highway 61 N, Pharmacy, Vicksburg, MS 39183-8211 | 2015-12-16 |
1891171351 | Prime Urgent Medical Clinic | Pharmacy | 176 Goodman Rd W, Southaven, MS 38671-9405 | 2015-08-07 |
1578956264 | Alliance Healthcare System | Pharmacy | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 | 2015-03-05 |
1871927517 | Southeast Mississippi Rural Health Initiative, Inc. | Pharmacy | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2013-08-29 |
1689915423 | Region Iv Desoto County Pharmacy | Pharmacy | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2013-03-04 |
1740417922 | Coastal Family Health Center, Inc. | Pharmacy | 1025 Division St, Ste A, Biloxi, MS 39530-2906 | 2009-06-16 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on FOOT SOLUTIONS LLC.
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.