JIM BAIN (NPI# 1528009297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528009297 |
| Entity Type | Individual |
| Full Name | JIM BAIN |
| Credential | RPH |
| Practice Address |
367 N Gloster St Tupelo MS 38804-3633 |
| Mailing Address |
Po Box 7241 Tupelo MS 38802-7241 |
| Practice Telephone | 6628444530 |
| Practice Fax Number | 6628444537 |
| Mailing Telephone | 6628444530 |
| Mailing Fax Number | 6628444537 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E06329 | MS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | NCPDP | 2512386 | 01 |
| Street Address |
367 N GLOSTER ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770582009 | Super D Drugs Acquistion Co. | Durable Medical Equipment & Medical Supplies | 367 N Gloster St, Tupelo, MS 38804-3633 | 2005-07-19 |
| 1760424659 | Jim Bain's Compounding Pharmacy | Pharmacy Technician | 367 N Gloster St, Tupelo, MS 38804-3633 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| 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 |
|---|---|---|---|---|
| 1306469515 | George David Gilmore | Pharmacist | 2801 W Main St Ste A, Tupelo, MS 38801-3001 | 2020-05-21 |
| 1659800621 | Meghan Cobb | Pharmacist | 146 S Thomas St Ste A, Tupelo, MS 38801-5328 | 2017-06-05 |
| 1598119554 | Donald Andrew Sweeney | Pharmacist | 1579 Sunflower Cir, Tupelo, MS 38801-8209 | 2016-04-15 |
| 1649648189 | Valerie Faye Sullivan | Pharmacist | 2800 West Main Street, Senior Rx, Tupelo, MS 38801 | 2015-09-14 |
| 1548544836 | Joan C Chandler | Pharmacist | 817 West Main Street, Tupelo, MS 38801 | 2011-10-05 |
| 1487953998 | Ronald Conrad Harris | Pharmacist | 280 Reynard Dr, Tupelo, MS 38801-8672 | 2011-03-23 |
| 1144539198 | James Paul Tinsley | Pharmacist | 1776 Mccullough Blvd, Tupelo, MS 38801-7101 | 2010-09-24 |
| 1467760801 | M Darlene Byram | Pharmacist | 809 Varsity Dr, Tupelo, MS 38801-4615 | 2010-09-20 |
| 1497748941 | James Lauvon Taylor IIi | Pharmacist | 1665 S Green St, Tupelo, MS 38804-6556 | 2005-08-30 |
| 1619578036 | Christy Cothern | Pharmacist | 3929 N Gloster St, Tupelo, MS 38804-0915 | 2020-11-03 |
| Find all providers in TUPELO | ||||
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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.