PERRY LAWRENCE DILLARD (NPI# 1346495611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346495611 |
| Entity Type | Individual |
| Full Name | PERRY LAWRENCE DILLARD |
| Credential | R PH. |
| Practice Address |
4211 Hospital St Suite 302 Pascagoula MS 39581-5320 |
| Practice Telephone | 2287122610 |
| Practice Fax Number | 2287122609 |
| Mailing Telephone | 2287122610 |
| Mailing Fax Number | 2287122609 |
| Enumeration Date | 2008-11-29 |
| Last Update Date | 2008-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
E006104 | MS | Pharmacy Service Providers |
| Street Address |
4211 HOSPITAL ST SUITE 302 |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241904 | Pavel L Khimenko | Internal Medicine | 4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 | 2005-11-10 |
| 1508404831 | Darrah Amanda Norsworthy | Nurse Practitioner | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2019-12-17 |
| 1437579091 | Stephanie Lauren Wilson | Nurse Practitioner | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2014-04-22 |
| 1093139040 | Complete Health Urgicare, Inc | Physician Assistant | 4211 Hospital St, Suite 101, Pascagoula, MS 39581-5320 | 2014-02-11 |
| 1174822076 | Laura Michele Schepens | Nurse Practitioner | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2011-03-18 |
| 1841453883 | W. J. Manuel, Md, Pa | Specialist | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2008-07-09 |
| 1437338985 | John W Degroote PC | Internal Medicine | 4211 Hospital St, Suite 103, Pascagoula, MS 39581-5320 | 2007-11-01 |
| 1376744920 | Cardiovascular & Thoracic Surgery | Specialist | 4211 Hospital St, Suite302, Pascagoula, MS 39581-5320 | 2007-05-30 |
| 1639239387 | Coastal Cardiology, PC | Internal Medicine | 4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 | 2006-12-11 |
| 1295894293 | Plaza Pharmacy Inc | Pharmacy | 4211 Hospital St, Ste 104, Pascagoula, MS 39581-5320 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1326686932 | Joshua Brett Manning | Pharmacist | Kroger, 2340 Highway 15 N, Laurel, MS 39440-1831 | 2019-12-13 |
| 1023585296 | Brenda M Wise | Pharmacist | 301 Fisher St # 2b, Biloxi, MS 39534-2508 | 2018-10-25 |
| 1508311028 | Koshy Mathew | Pharmacist | 122 Mcdill Cv, Madison, MS 39110-6562 | 2016-08-25 |
| 1992106413 | Roland Mullins Jr. | Pharmacist | 301 Fisher St Rm 309b, Keesler Afb, MS 39534-2508 | 2014-09-16 |
| 1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
| 1912333956 | Carman G Cochran | Pharmacist | 68 Buffalo Rd, Mc Lain, MS 39456-2330 | 2013-09-23 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1578833299 | April Malone | Pharmacist | 208 S 27th Ave, Hattiesburg, MS 39401-7173 | 2012-01-11 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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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.