FELIX C JACKSON (NPI# 1902411432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902411432 |
Entity Type | Individual |
Full Name | FELIX C JACKSON |
Practice Address |
204 Broadway Winnie TX 77665 |
Mailing Address |
Po Box 1359 Winnie TX 77665-1359 |
Practice Telephone | 4092962175 |
Practice Fax Number | 4092964406 |
Mailing Telephone | 4092962175 |
Mailing Fax Number | 4092964406 |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 46014 | TX | Pharmacy Service Providers |
Street Address |
204 BROADWAY |
City | WINNIE |
State | TX |
Zip Code | 77665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922108364 | Brookshire Brothers Inc | Pharmacy | 204 Broadway, Winnie, TX 77665 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871064931 | Angela Phifer | Physical Therapy Assistant | Arboretum Nursing and Rehab Center of Winnie, 1215 Highway 124, Winnie, TX 77665 | 2018-12-16 |
1619453131 | Vannessa Veronique Evans | Nurse Practitioner | 681 W Buccaneer Dr, Winnie, TX 77665 | 2018-07-17 |
1770623365 | Wilcrx Ent.,inc. | Pharmacist | 415 State Hwy 124, Winnie, TX 77665 | 2007-02-06 |
1942395199 | Winnie-stowell Volunteer Emergency Medical Services | Ambulance | 249 Broadway, Winnie, TX 77665 | 2006-10-04 |
1619076783 | Michael Dennis Fahey | Dentist | 502 3rd Street, Winnie, TX 77665 | 2006-09-22 |
1295781227 | Winnie Community Hospital, LLC | General Acute Care Hospital | 538 Broadway, Winnie, TX 77665-7600 | 2006-05-25 |
1427382290 | Ayesha Hafsa Hasan | Pediatrics | 538 Broadway, Winnie, TX 77665-7600 | 2009-09-28 |
1801027149 | Maria Guadalupe Sanchez | Physician Assistant | 538 Broadway, Winnie, TX 77665-7600 | 2009-08-04 |
1982805586 | Nedrana Boutte | Family Medicine | 538 Broadway, Winnie, TX 77665-7600 | 2007-05-30 |
1326175084 | Winnie Community Hospital, LLC | Medicare Defined Swing Bed Unit | 538 Broadway, Winnie, TX 77665-7600 | 2007-02-28 |
Find all providers in zip 77665 |
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 |
---|---|---|---|---|
1770623365 | Wilcrx Ent.,inc. | Pharmacist | 415 State Hwy 124, Winnie, TX 77665 | 2007-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
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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.