DR. WANDA J KEAHEY (NPI# 1598084618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598084618 |
Entity Type | Individual |
Full Name | DR. WANDA J KEAHEY |
Credential | PHARMD, MPH |
Practice Address |
3029 Lilly St Jackson MS 39213-7246 |
Mailing Address |
Po Box 4973 Jackson MS 39296-4973 |
Practice Telephone | 6016688525 |
Mailing Telephone | 6016688525 |
Enumeration Date | 2010-05-28 |
Last Update Date | 2015-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
08417 | MS | Pharmacy Service Providers |
Street Address |
3029 LILLY ST |
City | JACKSON |
State | MS |
Zip Code | 39213-7246 |
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 | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679198071 | Sharon Lynn Nations | Pharmacist | 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 | 2020-06-11 |
1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
1033729918 | Ashley Michelle Williams | Pharmacist | 4910 I 55 N, Jackson, MS 39211-5401 | 2020-08-05 |
1336757020 | Stephanie Balsman | Pharmacist | N168w21330 Main St, Jackson, WI 53037-9636 | 2020-07-19 |
1356988901 | Stephen O'neal | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2019-12-03 |
1376180190 | Matthew Gregory Benz | Pharmacist | 1100 W Argyle St, Jackson, MI 49202-2059 | 2019-12-01 |
1659939759 | Charlotte Whitney White | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2019-06-03 |
1518328913 | Angela Renee Hamilton | Pharmacist | 1500 E Woodrow Wilson Ave, Inpatient Pharmacy - Clinical Services, Jackson, MS 39216-5116 | 2016-03-11 |
1609261502 | Mary Joyce Wingler | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2015-03-30 |
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.