DR. WANDA J KEAHEY


Address: 3029 Lilly St, Jackson, MS 39213-7246
Phone: 6016688525

DR. WANDA J KEAHEY (NPI# 1598084618) 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) 1598084618
Entity Type Individual
Full Name DR. WANDA J KEAHEY
Credential PHARMD, MPH
Practice Address 3029 Lilly St
Jackson
MS 39213-7246
Mailing Address Po Box 4973
Jackson
MS 39296-4973
Practice Telephone 6016688525
Mailing Telephone 6016688525
Enumeration Date 2010-05-28
Last Update Date 2015-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
08417 MS Pharmacy Service Providers

Office Location

Street Address 3029 LILLY ST
City JACKSON
State MS
Zip Code 39213-7246

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
Find all providers in zip 39213

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
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
1609261502 Mary Joyce Wingler Pharmacist 2500 N State St, Jackson, MS 39216-4500 2015-03-30
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39213

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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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