DR. ANDREW RAYMOND VAN ACKER (NPI# 1699052068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699052068 |
| Entity Type | Individual |
| Full Name | DR. ANDREW RAYMOND VAN ACKER |
| Credential | PHARM D |
| Practice Address |
2405 Pass Rd Biloxi MS 39531-2111 |
| Practice Telephone | 2283883458 |
| Enumeration Date | 2011-11-13 |
| Last Update Date | 2011-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
E-11817 | MS | Pharmacy Service Providers |
| Street Address |
2405 PASS RD |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669487823 | Walgreen Co | Pharmacy | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2006-07-29 |
| 1053922138 | Joshua Favre | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2020-08-12 |
| 1265953855 | Anne Marie Foglesong | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2017-07-05 |
| 1760937734 | Desirea Queen | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2016-08-19 |
| 1114279254 | Joshua Rashad Bell | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2012-10-14 |
| 1063789972 | Robyn Elizabeth Turner | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2011-11-20 |
| 1942587480 | Nina Nguyen | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2011-11-11 |
| 1194008193 | Tiffany Robin Bird | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2011-09-26 |
| 1548543531 | Gary Wayne Trivanovich | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2011-09-26 |
| 1619282779 | Brent Theodore Barry | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2010-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881707024 | Nidia Maria Edwards | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-08-15 |
| 1699788026 | Linda Clark | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750898961 | Laquita L. Johnson | Pharmacist | 102 Williams Street, Hazlehurst, MS 39083 | 2018-01-09 |
| 1720445653 | Brooke F. Coffelt | Pharmacist | 1807 Edna Dr, Vicksburg, MS 39180-3724 | 2016-01-22 |
| 1871993972 | Thomas A Webb | Pharmacist | 1500 E Woodrow Wilson Ave # Slot119, Jackson, MS 39216-5116 | 2014-08-26 |
| 1982042198 | Kennerh Provine Collins | Pharmacist | 2917 56th Court, Meridian, MS 39305 | 2013-06-10 |
| 1184973737 | Stephen Caleb Williamson | Pharmacist | 801 Main Street, Collins, MS 39428 | 2012-08-29 |
| 1245515949 | An Duc Dang | Pharmacist | 405 Concord Dr, Clinton, MS 39056-5703 | 2011-10-14 |
| 1093986259 | Julie Searfoss George | Pharmacist | 350 West Woodrow Wilson Boulevard, Jackson, MS 39213 | 2008-03-17 |
| 1841411667 | James Albert Bennett | Pharmacist | 2049 Shiloh Rd, Corinth, MS 38834 | 2007-05-01 |
| 1275616831 | Ewell Spencer Hudson | Pharmacist | 108 N Court, Sumner, MS 38957-0526 | 2006-10-24 |
| 1801418843 | Jamie Wagner | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-05-13 |
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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.