G A CARMICHAEL FAMILY HEALTH CENTER (NPI# 1669010732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669010732 |
| Entity Type | Organization |
| Organization Name | G A CARMICHAEL FAMILY HEALTH CENTER |
| Other Organization Name | GAC COMMUNITY PHARMACY |
| Practice Address |
1668 W Peace St Canton MS 39046-5332 |
| Practice Telephone | 6018590273 |
| Mailing Telephone | 6018590273 |
| Mailing Fax Number | 6018593849 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DR. TERRENCE H BROWN (CHIEF PHARMACY OFFICER) |
| Authorized Official Telephone | 6018590267 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04150917 | 05 |
| Other Name | Type Code |
|---|---|
| GAC Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184989196 | G A Carmichael Family Health Center | Clinic/Center | 622 E Fourth St, Yazoo City, MS 39194-3715 | 2012-07-06 |
| 1588810865 | G A Carmichael Family Health Center | Dentist | 116 N Hayden St, Belzoni, MS 39038-3932 | 2008-08-18 |
| 1124185129 | G A Carmichael Family Health Center | Family Medicine | 1421 E Peace St Ste B, Canton, MS 39046-4938 | 2007-01-02 |
| Street Address |
1668 W PEACE ST |
| City | CANTON |
| State | MS |
| Zip Code | 39046-5332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564656 | Wesley F Prater | Obstetrics & Gynecology | 1668 W Peace St, Canton, MS 39046-5332 | 2006-03-31 |
| 1295344224 | Keneisha Dean | Family Medicine | 1668 W Peace St, Canton, MS 39046-5332 | 2020-07-27 |
| 1205456910 | Falasha Reed | Licensed Practical Nurse | 1668 W Peace St, Canton, MS 39046-5332 | 2020-04-22 |
| 1013569847 | G A Carmichael Family Health Center, Inc. | Clinic/Center | 1668 W Peace St, Canton, MS 39046-5332 | 2019-07-11 |
| 1972167278 | Jessica Carson | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2019-04-23 |
| 1992269088 | Tressa Ann Matthews | Family Medicine | 1668 W Peace St, Canton, MS 39046-5332 | 2019-01-23 |
| 1134606700 | Chris Fields | Clinical Exercise Physiologist | 1668 W Peace St, Canton, MS 39046-5332 | 2018-07-25 |
| 1639693823 | Logan Barlow | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2017-07-28 |
| 1659891257 | Yvette Rochelle Mclaurin | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2017-06-23 |
| 1144629510 | Angela Jones-stewart | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144727199 | Holly Springs Pharmacy LLC | Pharmacy | 3422 Sixes Rd Ste 302, Canton, GA 30114-9126 | 2018-04-06 |
| 1386004216 | Prestige Medical, LLC | Pharmacy | 7940 N Lilley Rd, Suite A-110, Canton, MI 48187-2432 | 2016-03-04 |
| 1326416611 | Low Cost LLC | Pharmacy | 7940 N Lilley Rd Ste 110, Canton, MI 48187-2432 | 2015-09-03 |
| 1023382314 | Holly Springs Pharmacy LLC | Pharmacy | 3422 Sixes Rd Ste 106, Canton, GA 30114-9120 | 2012-03-04 |
| 1417236894 | Mississippi Discount Drugs LLC | Pharmacy | 276 Nissan Pkwy Ste 300, Canton, MS 39046-7006 | 2011-08-16 |
| 1265769657 | Healthplus Specialty Pharmacy Inc | Pharmacy | 45300 Hanford Rd, Canton, MI 48187-2695 | 2009-11-05 |
| 1306997390 | Mjr Ltd | Pharmacy | 7 Troy St, Canton, PA 17724-1403 | 2007-01-16 |
| 1134203268 | Fulton Road Pharmacy Inc | Pharmacy | 1657 25th St Nw, Canton, OH 44709-3421 | 2006-10-25 |
| 1619066230 | Lewis Family Drug, LLC | Pharmacy | 715 E 5th St, Canton, SD 57013-1829 | 2006-10-12 |
| 1730296914 | Kph Healthcare Services, Inc. | Pharmacy | 40 State Highway 310, Canton, NY 13617-1459 | 2006-08-24 |
| Find all providers in CANTON | ||||
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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.