JONATHAN GLEN HUBANKS (NPI# 1962929331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962929331 |
| Entity Type | Individual |
| Full Name | JONATHAN GLEN HUBANKS |
| Credential | PHARMD |
| Practice Address |
202 Clinton Blvd Clinton MS 39056-5126 |
| Practice Telephone | (601) 924-3232 |
| Practice Fax Number | 6019242417 |
| Mailing Telephone | 6019243232 |
| Mailing Fax Number | 6019242417 |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2017-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-09835 | MS | Pharmacy Service Providers |
| Street Address |
202 CLINTON BLVD |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| 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 |
|---|---|---|---|---|
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1811455629 | Deva Sandroni | Pharmacist | 132 Fairmont St Ste B, Clinton, MS 39056-4721 | 2019-03-11 |
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1659857845 | Sally Drinnon | Pharmacist | 200 S 30th St, Clinton, OK 73601-3657 | 2018-07-11 |
| 1730673237 | Raisa Vladimir Reznik | Pharmacist | 6300 Coventry Way, Clinton, MD 20735-2256 | 2018-06-18 |
| 1871022830 | Mary Venetta Rothermal | Pharmacist | 140 W Michigan Ave, Clinton, MI 49236-9577 | 2017-06-05 |
| 1689028896 | Bridget Piko | Pharmacist | 165 Clinton Lake Rd, Clinton, PA 15026-1927 | 2016-04-14 |
| 1023487055 | Tyler Dougherty | Pharmacist | 1130 N Charles G Seivers Blvd, Clinton, TN 37716-3937 | 2015-09-21 |
| 1386038222 | Erica Podar | Pharmacist | 507 S Charles G Seivers Blvd, Clinton, TN 37716-2723 | 2015-03-27 |
| Find all providers in CLINTON | ||||
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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.