Chelsea Jones Clements, PHARMD

Individual provider Active NPI Pharmacist · Pascagoula, MS

NPI 1003532243 · NPPES record last updated Oct 19, 2022

Key facts

NPI
1003532243
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
E100745 (MS)
Practice address
3657 Market St
Pascagoula, MS 39567-3233
Phone
(228) 762-9683
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E100745MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi CVS Pharmacy, L.L.C. Past
since Oct 23, 2022
Accepting new patients
Mississippi CVS Pharmacy LLC Past
since Oct 23, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E100745 MS Yes

Addresses

Primary practice location

3657 Market St
Pascagoula, MS 39567-3233

Mailing address

9155 Ashburn LN
Gulfport, MS 39503-6155
Phone (228) 760-4725

Other names

  • Ms. Chelsea Elise Jones Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2022.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1003532243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 ASHBURN LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036155",
            "telephone_number": "228-760-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 MARKET ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673233",
            "telephone_number": "228-762-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "CHELSEA",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E100745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "JONES",
            "middle_name": "ELISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pascagoula, MS

All providers in Pascagoula, MS · Pharmacist in Mississippi

Sources for this page

Verify at the official NPI Registry.