DR. JAMIE WAGNER


Address: 2500 N State St, Jackson, MS 39216-4500
Phone: 6018151933

DR. JAMIE WAGNER (NPI# 1801418843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801418843
Entity Type Individual
Full Name DR. JAMIE WAGNER
Credential PHARMD
Practice Address 2500 N State St
Jackson
MS 39216-4500
Practice Telephone 6018151933
Enumeration Date 2020-05-13
Last Update Date 2020-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
5302041340 MI Pharmacy Service Providers
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
051296931 IL Pharmacy Service Providers
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
T14003 MS Pharmacy Service Providers

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1598204000 Jamie Lynn Wagner Physical Therapy Assistant 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 2017-02-16
1245623842 Jamie Lynn Wagner Nurse Practitioner 201 S Cleveland Ave, Hagerstown, MD 21740-5745 2015-03-06
1154534733 Jamie Lynn Wagner Surgery 1515 Holcombe Blvd, Houston, TX 77030-4009 2007-05-08

Office Location

Street Address 2500 N STATE ST
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556231 University Ophthalmology Associates Ophthalmology 2500 N State St, Ste B329, Jackson, MS 39216-4500 2005-05-24
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1679189849 Raegan Wilson Registered Nurse 2500 N State St, Jackson, MS 39216-4500 2020-09-22
1851905095 Violet Maloba Awori Student in an Organized Health Care Education/Training Program 2500 N State St, Jackson, MS 39216-4500 2020-09-04
1295348639 Kassidy Voinche Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-25
1215549423 Brittney Leeann Williams Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-19
1912519364 Rashmi Verma Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2020-08-18
1982215414 Anita Dhanrajani Pediatrics 2500 N State St, Jackson, MS 39216-4500 2020-08-10
1528676954 Nicholas Mcafee Psychologist 2500 N State St, Jackson, MS 39216-4500 2020-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871993972 Thomas A Webb Pharmacist 1500 E Woodrow Wilson Ave # Slot119, Jackson, MS 39216-5116 2014-08-26
1093986259 Julie Searfoss George Pharmacist 350 West Woodrow Wilson Boulevard, Jackson, MS 39213 2008-03-17
1124666300 Henderson Delmar Warnock IIi Pharmacist 2500 N State St, Jackson, MS 39216-4500 2019-12-18
1174933436 Haritha Natla Pharmacist 3333 E Michigan Ave, Jackson, MI 49202-3853 2014-05-07
1477963890 James Cheney Pharmacist 2777 Airport Rd, Jackson, MI 49202-1239 2014-05-07
1275943920 Pamela Jean Rose Pharmacist 2777 Airport Rd, Jackson, MI 49202-1239 2014-05-03
1477963106 Renee Moran Pharmacist 3333 E Michigan Ave, Jackson, MI 49202-3853 2014-05-02
1467883298 Amber Deanne Grantham Pharmacist 93 Stonebrook Pl, Target Pharmacy, Jackson, TN 38305-3637 2013-12-04
1972871895 Tiawana Ware Alexander Pharmacist 3445 Terry Rd, Jackson, MS 39212-4956 2011-12-06
1902174022 Mark Dewitt Allen Pharmacist 3445 Terry Rd, Jackson, MS 39212-4956 2011-12-03
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

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.

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