KELLY JEANNE LEIDEN (NPI# 1639780521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639780521 |
| Entity Type | Individual |
| Full Name | KELLY JEANNE LEIDEN |
| Credential | PHARMD |
| Practice Address |
2601 Highway 90 Gautier MS 39553-5167 |
| Mailing Address |
105 La Branche Ave Ocean Springs MS 39564-5309 |
| Practice Telephone | 2284978110 |
| Mailing Telephone | 6014697372 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-14986 | MS | Pharmacy Service Providers |
| Street Address |
2601 HIGHWAY 90 |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821289398 | Walgreen Co | Pharmacy | 2601 Highway 90, Gautier, MS 39553-5167 | 2007-08-08 |
| 1053922823 | Phillip Conn | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2020-08-13 |
| 1679184451 | Michelle Ha | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2020-08-13 |
| 1053868919 | Dominique Fitch | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2016-09-07 |
| 1093025348 | Thuy T Nguyen | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2010-10-19 |
| 1043526189 | Vicki Booker | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| 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 |
|---|---|---|---|---|
| 1053922823 | Phillip Conn | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2020-08-13 |
| 1679184451 | Michelle Ha | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2020-08-13 |
| 1033646906 | Darren Charles Riley | Pharmacist | 2105 Old Spanish Trl, Gautier, MS 39553-6000 | 2017-05-22 |
| 1053868919 | Dominique Fitch | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2016-09-07 |
| 1093025348 | Thuy T Nguyen | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2010-10-19 |
| 1043526189 | Vicki Booker | Pharmacist | 2601 Highway 90, Gautier, MS 39553-5167 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043192 | Craig Stephen Andreas Jr. | Pharmacist | 2230 Thousand Oaks Dr, Hernando, MS 38632-6622 | 2020-11-06 |
| 1285235333 | Ann Elizabeth Sutherland | Pharmacist | 9038 Coatbridge Dr, Oxford, MS 38655-7396 | 2020-11-05 |
| 1700487907 | Nancy Heyer Miles | Pharmacist | 5509 Highway 45 Alt S, West Point, MS 39773-0413 | 2020-11-04 |
| 1124628102 | Betsy Wicker Lindsey | Pharmacist | 1608 Smithdale Rd, Mccomb, MS 39648-2064 | 2020-10-28 |
| 1174123566 | Lisa Kincaid Odom | Pharmacist | 218 Woodland Hills Dr, Oxford, MS 38655-9770 | 2020-10-27 |
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1225637424 | Milagros H. Walker | Pharmacist | 2119 Lindhridge Dr, Gulfport, MS 39507-3765 | 2020-10-20 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1063023950 | Rianne Marie Jones | Pharmacist | 10252 Woodlands Dr, Biloxi, MS 39532-9518 | 2020-08-13 |
| 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.