INFUSION CENTER PHARMACY (NPI# 1881087427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881087427 |
| Entity Type | Organization |
| Organization Name | INFUSION CENTER PHARMACY |
| Practice Address |
5903 Ridgewood Rd Suite 110 Jackson MS 39211-3700 |
| Mailing Address |
2500 N State St Pharmacy Administration Jackson MS 39216-4500 |
| Practice Telephone | 6019842055 |
| Practice Fax Number | 6019842063 |
| Mailing Telephone | 6019842055 |
| Mailing Fax Number | 6019842063 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | DR. MICHAEL TODARO JR. (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6019842055 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIV OF MS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
14251/2.1 | MS | Ambulatory Health Care Facilities |
| Street Address |
5903 RIDGEWOOD RD SUITE 110 |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330163 | Select Specialty Hospital - Jackson Inc | Long Term Care Hospital | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2005-07-21 |
| 1083079545 | Genevieve Celeste Garrett | Social Worker | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2015-12-28 |
| 1528443975 | Medical Assurance LLC | Internal Medicine | 5903 Ridgewood Rd, Suite 320, Jackson, MS 39211-3700 | 2015-07-28 |
| 1255719068 | Medical Care Alliance LLC | Clinic/Center | 5903 Ridgewood Rd, Suite 310, Jackson, MS 39211-3700 | 2015-05-13 |
| 1063786036 | The Pain Clinic of Mississippi, Pllc | Pain Medicine | 5903 Ridgewood Rd, Suite 440, Jackson, MS 39211-3700 | 2012-03-08 |
| 1720213069 | Reddix Medical Group | Clinic/Center | 5903 Ridgewood Rd, Suite 310, Jackson, MS 39211-3700 | 2009-05-15 |
| 1154569853 | Leslie Rooks | Registered Nurse | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2009-02-03 |
| 1720258403 | Neurosurgical Associates | Neurological Surgery | 5903 Ridgewood Rd, Suite 101, Jackson, MS 39211-3700 | 2008-03-10 |
| 1508036575 | Heart Associates of Central Ms | Internal Medicine | 5903 Ridgewood Rd, Suite230, Jackson, MS 39211-3700 | 2008-03-06 |
| 1841496239 | Howard R Holaday, M.d., P.a. | Neurological Surgery | 5903 Ridgewood Rd, Suite 101, Jackson, MS 39211-3700 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543020 | Precision Healthcare, Inc | Clinic/Center | 464 N Parkway, Jackson, TN 38305-2810 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609977 | Vitaledge Healthcare LLC | Clinic/Center | 2584 Audubon Pl, Biloxi, MS 39531-3707 | 2020-04-29 |
| 1467016931 | Fountains Infusion Center LLC | Clinic/Center | 159 Fountains Blvd Ste D, Madison, MS 39110-6344 | 2019-04-30 |
| 1548710510 | North Sunflower Medical Center | Clinic/Center | 860 N Oak Ave, Ruleville, MS 38771-3227 | 2016-10-13 |
| 1740646967 | Trina Health of Booneville, Inc | Clinic/Center | 202 N 1st St, Suite B, Booneville, MS 38829-2718 | 2016-01-04 |
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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.