MISS JESSICA KATHERINE BLOOM (NPI# 1639336381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639336381 |
| Entity Type | Individual |
| Full Name | MISS JESSICA KATHERINE BLOOM |
| Credential | PHARM D |
| Practice Address |
200 Pharmacy Drive Smyrna DE 19977 |
| Practice Telephone | 3026591267 |
| Mailing Telephone | 3026591267 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | A10003720 | DE | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144633520 | Jessica Bloom | Counselor | 3633 W Lake Ave Ste 308, Glenview, IL 60026-5803 | 2014-06-03 |
| 1174702583 | Jessica Ann Bloom | Specialist | 5617 W Von Ave Unit C, Monee, IL 60449-7917 | 2007-11-01 |
| 1801934724 | Jessica Bloom | Social Worker | 500 19th St, Brooklyn, NY 11215-6204 | 2007-02-02 |
| 1275140477 | Jessica Bloom | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-30 |
| 1588287387 | Jessica Bloom | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-05-27 |
| 1366836512 | Jessica Lynn Bloom | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-03-25 |
| 1437199643 | Jessica J. Bloom | Family Medicine | 3500 Orchard Pl, Bellingham, WA 98225-1749 | 2006-06-07 |
| Street Address |
200 PHARMACY DRIVE |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982880100 | Rite Aid of Delaware Inc | Durable Medical Equipment & Medical Supplies | 200 Pharmacy Drive, Smyrna, DE 19977-2886 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| 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 |
|---|---|---|---|---|
| 1528628252 | Amy J Campbell | Pharmacist | 133 Bordeaux Ct, Smyrna, TN 37167-4606 | 2019-06-14 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1518483171 | Yvener Charles | Pharmacist | 969 Windy Hill Rd Se Ste A, Smyrna, GA 30080-2025 | 2017-08-16 |
| 1497271282 | Elizabeth Lai | Pharmacist | 3253 Polo Run Cir Se, Smyrna, GA 30082-2454 | 2017-08-14 |
| 1043759988 | Roxanne Musharrafeia | Pharmacist | 4003 Saint Jules Way, Smyrna, TN 37167-7562 | 2017-02-13 |
| 1316494420 | Elizabeth Daniel | Pharmacist | 3250 Millwood Trl Se, Smyrna, GA 30080-1602 | 2016-09-07 |
| 1629450606 | Tzu-wei Huang | Pharmacist | 3303 Fieldwood Dr Se, Smyrna, GA 30080-1611 | 2015-06-25 |
| 1629486436 | Vickie Andros | Pharmacist | 200 Technology Ct Se Ste B, Smyrna, GA 30082-5201 | 2014-07-24 |
| 1144568536 | Jacinta E Jackson | Pharmacist | 2148 S Cobb Dr Se, Smyrna, GA 30080-1348 | 2013-01-21 |
| 1710224662 | Brandi Fannon | Pharmacist | 1950 Lake Park Dr Se, Smyrna, GA 30080-7648 | 2013-01-12 |
| Find all providers in SMYRNA | ||||
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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.