DR. JONATHAN RAY MALLETTE


Address: 941 N Parkway, Jackson, TN 38305-4504
Phone: 7314234904

DR. JONATHAN RAY MALLETTE (NPI# 1376889899) 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) 1376889899
Entity Type Individual
Full Name DR. JONATHAN RAY MALLETTE
Credential PHARM.D.
Practice Address 941 N Parkway
Jackson
TN 38305-4504
Practice Telephone 7314234904
Practice Fax Number 7314234914
Mailing Telephone 7314234904
Mailing Fax Number 7314234914
Enumeration Date 2013-01-02
Last Update Date 2020-03-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
33809 TN Pharmacy Service Providers

Office Location

Street Address 941 N PARKWAY
City JACKSON
State TN
Zip Code 38305-4504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649204371 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 941 N Parkway, Jackson, TN 38305-4504 2006-07-10
1285271007 Emily Harmon Pharmacist 941 N Parkway, Jackson, TN 38305-4504 2019-12-01
1053658567 Mark Barrett Brooks Pharmacist 941 N Parkway, Jackson, TN 38305-4504 2013-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
Find all providers in zip 38305

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679198071 Sharon Lynn Nations Pharmacist 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 2020-06-11
1316585581 Deborah Magoun Rosenbaum Pharmacist [email protected], 4910 I-55 North, Jackson, MS 39211 2019-12-18
1598084618 Wanda J Keahey Pharmacist 3029 Lilly St, Jackson, MS 39213-7246 2010-05-28
1215549423 Brittney Leeann Williams Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-19
1033729918 Ashley Michelle Williams Pharmacist 4910 I 55 N, Jackson, MS 39211-5401 2020-08-05
1336757020 Stephanie Balsman Pharmacist N168w21330 Main St, Jackson, WI 53037-9636 2020-07-19
1356988901 Stephen O'neal Pharmacist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2019-12-03
1376180190 Matthew Gregory Benz Pharmacist 1100 W Argyle St, Jackson, MI 49202-2059 2019-12-01
1659939759 Charlotte Whitney White Pharmacist 2500 N State St, Jackson, MS 39216-4500 2019-06-03
1518328913 Angela Renee Hamilton Pharmacist 1500 E Woodrow Wilson Ave, Inpatient Pharmacy - Clinical Services, Jackson, MS 39216-5116 2016-03-11
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 38305

Improve Information

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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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