MRS. MADELLINE COLLAZO (NPI# 1598383804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598383804 |
| Entity Type | Individual |
| Full Name | MRS. MADELLINE COLLAZO |
| Credential | RPH |
| Practice Address |
3786 Rosemary Ter Ocean Springs MS 39564-4520 |
| Practice Telephone | 2284974483 |
| Mailing Telephone | 2284974483 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP00006802 | NM | Pharmacy Service Providers |
| Street Address |
3786 ROSEMARY TER |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| 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 |
|---|---|---|---|---|
| 1295396240 | Elizabeth Vanhuffel | Pharmacist | 58 Lakeview Dr, Ocean Springs, MS 39564-9282 | 2019-06-20 |
| 1467920264 | Sarah Hilt Godsey | Pharmacist | 808 Desoto St Apt 14, Ocean Springs, MS 39564-3756 | 2018-11-09 |
| 1679052906 | Marcus Courtland Dean | Pharmacist | 3721 Cabildo Pl, Ocean Springs, MS 39564-3727 | 2018-08-08 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1700177938 | Shannon G Dickey | Pharmacist | 3082 Bienville Blvd, Ocean Springs, MS 39564-4354 | 2011-04-21 |
| 1134303324 | Jesse Murphy | Pharmacist | 6008 Washington Ave, Ocean Springs, MS 39564-2649 | 2007-12-24 |
| 1841391687 | Michael Wayne Bales | Pharmacist | 14009 Virginia St, Ocean Springs, MS 39565-6941 | 2006-09-26 |
| 1386688620 | Ocean Springs Discount Pharmacy, Inc | Pharmacist | 2120 Bienville Blvd, Ocean Springs, MS 39564-3017 | 2006-06-16 |
| 1245830462 | Tammy Roberts | Pharmacist | 3911 Bienville Blvd, Ocean Springs, MS 39564-4519 | 2020-10-27 |
| 1275036352 | Courtney Dionne-marie Joseph | Pharmacist | 6412 Washington Ave, Ocean Springs, MS 39564-2335 | 2018-03-14 |
| Find all providers in OCEAN SPRINGS | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
Please comment or provide details below to improve the information on MRS. MADELLINE COLLAZO.
| 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.