JESSICA LEE CHANG (NPI# 1538398557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538398557 |
Entity Type | Individual |
Full Name | JESSICA LEE CHANG |
Credential | PHARM.D. |
Practice Address |
1104 Carlton Park Dr Flowood MS 39232-5535 |
Practice Telephone | 6012781910 |
Mailing Telephone | 6012781910 |
Enumeration Date | 2009-07-12 |
Last Update Date | 2009-07-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
E-09602 | MS | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
1912457565 | Jessica Ten Roen Chang | Pharmacist | 801 Church St, Apt 1319, Mountain View, CA 94041-1908 | 2016-10-06 |
1114372455 | Jessica Chang | Psychiatry & Neurology | 12 Executive Park Dr Ne # 200, Atlanta, GA 30329-2206 | 2016-04-23 |
1457656266 | Jessica Chang | Community Health Worker | 10709 N Division, Spokane, WA 99218 | 2011-01-26 |
1972667889 | Jessica T Chang | Optometrist | 3525 W Carson St, Del Amo Fashion Center Unit 30, Torrance, CA 90503-5704 | 2006-12-22 |
1851466841 | Jessica Chang | Optometrist | 2734 54th Ave Ne, Tacoma, WA 98422-3212 | 2006-11-22 |
1588290746 | Jessica Chang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-03-19 |
1912425232 | Jessica Yejenn Chang | Physical Therapist | 37 Union Sq W Fl 3, New York, NY 10003-3217 | 2017-09-07 |
1063944486 | Jessica Eun Chang | Occupational Therapist | 4310 Forest Hill Dr, Fairfax, VA 22030-5680 | 2017-04-03 |
1275073306 | Jessica Chang | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204 | 2017-03-08 |
Street Address |
1104 CARLTON PARK DR |
City | FLOWOOD |
State | MS |
Zip Code | 39232-5535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
Find all providers in zip 39232 |
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 |
---|---|---|---|---|
1932515079 | Jennifer Grantham | Pharmacist | 110 Promenade Blvd, Flowood, MS 39232-8017 | 2014-07-09 |
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 |
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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.