Active NPI
Athelia Balams Eze, PHARM.D.
- Pharmacist
- Starkville, MS
National Provider Identifier
1316954001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-09285
- Practice address
- 105 Strange Rd
Starkville, MS 39759-2539 - Phone
- (662) 323-5033
- Fax
- (662) 323-4409
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T-09285 | MS | Primary |
Addresses
Primary practice location
105 Strange Rd
Starkville, MS 39759-2539
Mailing address
105 Strange Rd
Starkville, MS 39759-2539
Phone (662) 323-3503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07064/01.1 | Other | MS | RETALIL COMMUNITY PHARMCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-09285 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eze PS Family Medical Clinic | Current | Accepting new patients | |
| Eze PS Family Medical Clinic | Current | Accepting new patients | |
| Baze Specialty Pharmacy, LLC | Past | Accepting new patients | |
| Baze Pharmacy LLC | Pharmacist | Past | Accepting new patients |
Locations
105 Strange Rd
Starkville, MS 39759
Phone (662) 323-4400
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BAZE Specialty Pharmacy
- Community/Retail Pharmacy
- East Point, GA
- NPI 1689029951
-
- Durable Medical Equipment & Medical Supplies
- East Point, GA
- NPI 1245781061
-
dba Eze P's Medical Supply
- Durable Medical Equipment & Medical Supplies
- Starkville, MS
- NPI 1033689690
-
dba Eze P's Medical Supply
- Family Medicine Physician
- Starkville, MS
- NPI 1780809251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1316954001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 STRANGE RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592539",
"telephone_number": "662-323-3503",
"fax_number": "662-323-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 STRANGE RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592539",
"telephone_number": "662-323-5033",
"fax_number": "662-323-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZE",
"first_name": "ATHELIA",
"middle_name": "BALAMS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-09285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETALIL COMMUNITY PHARMCY",
"identifier": "07064/01.1",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
- Amanda N Ewing
- Eye & Laser Center of Starkville PLLC
- Eyedeal Optical Outlet Inc.
- Eze PS Family Medical Clinic (Eze P's Medical Supply)
- Eze PS Family Medical Clinic (Eze P's Medical Supply)
- Placid M Eze, M. D.
- Maggie Martin Fair, F.N.P.
- Families First Home Care Services LLC
- Catherine Randall Fandel, DPT
- Jacob Keith Fanning, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.