DR. MARK ALAN STEPHENS (NPI# 1710149703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710149703 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN STEPHENS |
| Credential | PHARM.DL |
| Practice Address |
1050 Union University Dr Jackson TN 38305-3656 |
| Practice Telephone | 7316615975 |
| Practice Fax Number | 7316615980 |
| Mailing Telephone | 7316615975 |
| Mailing Fax Number | 7316615980 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
6588 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457833915 | Mark Stephens | Registered Nurse | 811 Sw Washington Ave, Lawton, OK 73501-7425 | 2018-08-31 |
| 1750501771 | Mark Clay Stephens | Dentist | 138 N Keeneland Dr, Suite C, Richmond, KY 40475-7951 | 2007-05-01 |
| 1053489401 | Mark Charles Stephens | Pharmacist | 297 Drehersville Rd, Orwigsburg, PA 17961-9603 | 2006-12-02 |
| 1093370603 | Mark Stephens Jr. | Student in an Organized Health Care Education/Training Program | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 | 2019-05-08 |
| 1003282419 | Mark Stephens | Acupuncturist | 1 Church St, New Paltz, NY 12561-1514 | 2015-08-19 |
| 1477960870 | Mark Stephens | Specialist/Technologist | 400 7th St, Bay City, TX 77414-4840 | 2014-07-17 |
| 1609286657 | Mark Anthony Stephens | Pediatrics | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2014-04-29 |
| 1699033373 | Mark Thomas Stephens | Ophthalmology | 5494 Glen Lakes Dr, Dallas, TX 75231 | 2012-05-01 |
| 1083992556 | Mark Lane Stephens | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2011-08-01 |
| 1770871568 | Mark D Stephens | Physical Therapist | 5770 S 250 E, Murray, UT 84107 | 2011-07-14 |
| Street Address |
1050 UNION UNIVERSITY DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528241999 | Kathy Michelle O'connor-wray | Nurse Practitioner | 1050 Union University Dr, Jackson, TN 38305 | 2007-12-08 |
| 1235730680 | Lunawati Lo Bennett | Pharmacist | 1050 Union University Dr, Jackson, TN 38305-3697 | 2020-11-03 |
| 1619578143 | Kim Lindsey-goodrich | Pharmacist | 1050 Union University Dr, Jackson, TN 38305-3656 | 2020-11-02 |
| 1992331490 | Alexandra Laine Anderson | Student in an Organized Health Care Education/Training Program | 1050 Union University Dr, Jackson, TN 38305-3656 | 2020-03-16 |
| 1417593872 | Riley Renay Gray | Specialist/Technologist | 1050 Union University Dr, Jackson, TN 38305-3656 | 2019-11-20 |
| 1083190474 | Margaret Claire Whitehead | Nurse Anesthetist, Certified Registered | 1050 Union University Dr, Jackson, TN 38305-3656 | 2018-07-18 |
| 1790229060 | Jennifer Farroll | Specialist/Technologist | 1050 Union University Dr, Box 1864, Jackson, TN 38305-3656 | 2016-12-06 |
| 1275991879 | Bradley Spencer | Pharmacist | 1050 Union University Dr, Jackson, TN 38305-3656 | 2016-02-10 |
| 1952658429 | Zoila Vichot Sanchez | Nurse Practitioner | 1050 Union University Dr, White Hall 234, Jackson, TN 38305-3656 | 2012-08-14 |
| 1518238062 | Paul Mayer | Nurse Practitioner | 1050 Union University Dr, Attn: Health Services, Jackson, TN 38305-3656 | 2012-01-14 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1871993972 | Thomas A Webb | Pharmacist | 1500 E Woodrow Wilson Ave # Slot119, Jackson, MS 39216-5116 | 2014-08-26 |
| 1093986259 | Julie Searfoss George | Pharmacist | 350 West Woodrow Wilson Boulevard, Jackson, MS 39213 | 2008-03-17 |
| 1801418843 | Jamie Wagner | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-05-13 |
| 1124666300 | Henderson Delmar Warnock IIi | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2019-12-18 |
| 1174933436 | Haritha Natla | Pharmacist | 3333 E Michigan Ave, Jackson, MI 49202-3853 | 2014-05-07 |
| 1477963890 | James Cheney | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2014-05-07 |
| 1275943920 | Pamela Jean Rose | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2014-05-03 |
| 1477963106 | Renee Moran | Pharmacist | 3333 E Michigan Ave, Jackson, MI 49202-3853 | 2014-05-02 |
| 1467883298 | Amber Deanne Grantham | Pharmacist | 93 Stonebrook Pl, Target Pharmacy, Jackson, TN 38305-3637 | 2013-12-04 |
| 1972871895 | Tiawana Ware Alexander | Pharmacist | 3445 Terry Rd, Jackson, MS 39212-4956 | 2011-12-06 |
| 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.