DR. ROBERT OWEN HENDERSON JR. (NPI# 1649581430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649581430 |
| Entity Type | Individual |
| Full Name | DR. ROBERT OWEN HENDERSON JR. |
| Credential | DRPH |
| Practice Address |
384 Oil Well Rd Jackson TN 38305-7929 |
| Practice Telephone | 7316648892 |
| Practice Fax Number | 7316649195 |
| Mailing Telephone | 7316648892 |
| Mailing Fax Number | 7316649195 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6225 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NPI #WALGREENS STORE 9835 | 1063429082 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225231517 | Robert Michael Henderson | Dentist | 6222 W 9th Ave, Amarillo College Dental Clinic, Amarillo, TX 79106-0701 | 2007-06-06 |
| 1578601118 | Robert D. Henderson | Chiropractor | 1400 E Robinson St, Orlando, FL 32801-2120 | 2007-02-04 |
| 1336213776 | Robert S. Henderson | Counselor | 16 High St., South Glastonbury, CT 06073 | 2006-11-18 |
| 1972673838 | Robert C Henderson | Specialist | 4600 N Habana Ave Ste 30, Tampa, FL 33614-7123 | 2006-11-08 |
| 1275543092 | Robert E. Henderson | Dentist | 824 E Redd Rd, Ste. 1-b, El Paso, TX 79912-7262 | 2006-08-08 |
| 1811915622 | Robert W Henderson | Dentist | 101 Darby Dr, Suite 101, Georgetown, KY 40324-8715 | 2006-07-18 |
| 1609830041 | Robert W Henderson | Family Medicine | 2929 Carlisle St, Suite 260, Dallas, TX 75204-1084 | 2006-04-13 |
| 1942277439 | Robert L Henderson | Otolaryngology | 10480 Little Patuxent Pkwy, Suite 220, Columbia, MD 21044-3568 | 2006-03-02 |
| 1437132552 | Robert Clark Henderson | Obstetrics & Gynecology | 44 Tiverton Ln, Asheville, NC 28803-1909 | 2005-11-22 |
| 1124010285 | Robert R Henderson | Ophthalmology | 1800 State St, Nashville, TN 37203-2206 | 2005-08-16 |
| Street Address |
384 OIL WELL RD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-7929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063429082 | Walgreen Co | Pharmacy | 384 Oil Well Rd, Jackson, TN 38305-7929 | 2006-08-02 |
| 1881209146 | Felicia Tawah Che Ditah | Pharmacist | 384 Oil Well Rd, Jackson, TN 38305-7929 | 2020-09-14 |
| 1902417918 | Jacqueline Risley | Pharmacist | 384 Oil Well Rd, Jackson, TN 38305-7929 | 2020-08-13 |
| 1154932275 | Stephanie Cheadle | Pharmacist | 384 Oil Well Rd, Jackson, TN 38305-7929 | 2020-08-12 |
| 1497024103 | Karen E Depriest | Pharmacist | 384 Oil Well Rd, Jackson, TN 38305-7929 | 2011-12-26 |
| 1225340730 | Cynthia Suzette Phillips | Pharmacist | 384 Oil Well Rd, Jackson, TN 38305-7929 | 2010-07-13 |
| 1316258973 | Emily Jane York | Pharmacist | 384 Oil Well Rd, Jackson, TN 38305-7929 | 2010-06-29 |
| 1477864106 | William Shannon Dunlap | Pharmacist | 384 Oil Well Rd, Jackson, TN 38305-7929 | 2010-06-28 |
| 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 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 |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1124645965 | Archis B Patel | Pharmacist | 6 Moet Ct, Jackson, NJ 08527-3090 | 2020-06-27 |
| 1417579798 | Alvin Ray Stewart Sr. | Pharmacist | 696 Cedar Springs Dr, Jackson, MS 39212-5710 | 2020-05-10 |
| 1033731492 | Jamie Hines Mckinley | Pharmacist | 1500 E Woodrow Wilson Ave Dept 119-a, Jackson, MS 39216-5116 | 2020-05-08 |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1770130650 | Elizabeth Hearn | Pharmacist | 1345 Simwood Pl, Jackson, MS 39211-6352 | 2019-08-24 |
| 1306493929 | Stephen Benjamin Porter | Pharmacist | 350 W Woodrow Wilson Ave Rm Me101-42, Jackson, MS 39213-7681 | 2019-08-19 |
| Find all providers in JACKSON | ||||
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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.