Jacelyn Jade Roussell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-102026 Issued in MS

Practice address

235 Frontage Rd
Picayune, MS 39466-7514

Phone

(601) 799-1063

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jacelyn Jade Latham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1053293092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74640 TANTELA RANCH RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704357092",
            "telephone_number": "601-916-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FRONTAGE RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394667514",
            "telephone_number": "601-799-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSELL",
        "first_name": "JACELYN",
        "middle_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-102026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACELYN",
            "last_name": "LATHAM",
            "middle_name": "JADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Picayune, MS
• Providers in Picayune, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.