MR. MARK DEWITT ALLEN


Address: 3445 Terry Rd, Jackson, MS 39212-4956
Phone: 6013728750

MR. MARK DEWITT ALLEN (NPI# 1902174022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902174022
Entity Type Individual
Full Name MR. MARK DEWITT ALLEN
Credential RPH.
Practice Address 3445 Terry Rd
Jackson
MS 39212-4956
Practice Telephone 6013728750
Practice Fax Number 6013723833
Mailing Telephone 6013728750
Mailing Fax Number 6013723833
Enumeration Date 2011-12-03
Last Update Date 2011-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
E-07742 MS Pharmacy Service Providers

Other Providers MARK ALLEN

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1124339676 Mark Allen Orthopaedic Surgery 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 2010-06-30
1134283765 Mark S Allen Dentist 1716 Ashley Cir, Bowling Green, KY 42104-3366 2006-12-20
1952471617 Mark Allen Chiropractor 434 S Green St, Henderson, KY 42420-3517 2006-11-09
1306934708 Mark A. Allen Chiropractor 2525 California St, Suite A&b, Columbus, IN 47201-3678 2006-10-11
1467551549 Mark H Allen Optometrist 4810 Lakeland Dr, Flowood, MS 39232-8694 2006-09-22
1295742013 Mark Jay Allen Dentist 519 S Santa Fe Ave, Edmond, OK 73003-6281 2006-08-02
1700842549 Mark Allen Dentist 151 North Main St, Hardwick, VT 05843 2006-04-21
1932187507 Mark Daniel Allen Nurse Practitioner 1400 Willow Lane, Manchester, TN 37355 2006-01-04

Office Location

Street Address 3445 TERRY RD
City JACKSON
State MS
Zip Code 39212-4956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730184607 Amber Dione Wilbanks Pharmacist 3445 Terry Rd, Jackson, MS 39212-4956 2005-06-16
1396015111 Jennifer Eileen Taylor Iv Pharmacist 3445 Terry Rd, Jackson, MS 39212-4956 2012-01-10
1972871895 Tiawana Ware Alexander Pharmacist 3445 Terry Rd, Jackson, MS 39212-4956 2011-12-06
1104831361 Walgreen Co Durable Medical Equipment & Medical Supplies 3445 Terry Rd, Jackson, MS 39212-4956 2006-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013406172 South Central Community Action Agency, Inc Non-emergency Medical Transport (VAN) 3891 I-55 South Frontage Rd, Jackson, MS 39212 2018-05-04
1508305780 Caring Companions LLC Home Health 1024 Cooper Rd, Jackson, MS 39212 2017-02-21
1750634044 Christians In Action, Inc. Community/Behavioral Health 2025 North Siwell Rd, Jackson, MS 39212 2012-10-24
1609164748 Counseling and Mentoring Program Community/Behavioral Health 2964 Terry Road B-1, Jackson, MS 39212 2011-07-11
1407179039 Caring Hands Community Services Inc Skilled Nursing Facility 3318 Longwood Drive, Jackson, MS 39212 2010-03-10
1992239404 Shaemik Harris Registered Nurse 3520 Sykes Park Dr, Jackson, MS 39212 2017-04-12
1780044438 Alfonzo Haralson Counselor 132 Thousand Oaks Cir, Jackson, MS 39212-2046 2016-02-24
1659384063 Kentrell Marie Liddell Family Medicine 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 2006-08-15
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1912455361 Victorious Healthcare L.L.C. Assisted Living Facility 4959 Laurel Oak Dr, Jackson, MS 39212-2150 2016-09-14
Find all providers in zip 39212

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City JACKSON
Zip Code 39212

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Dataset Information

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.

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