Jessie Nicole Bates
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Starkville, MS
NPI 1861065716 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1861065716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- E-100211 (MS)
- Practice address
- 826 Highway 12 W
Starkville, MS 39759-3582 - Phone
- (662) 324-8053
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-100211 | MS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | E-100211 | MS | Yes |
Addresses
Primary practice location
826 Highway 12 W
Starkville, MS 39759-3582
Mailing address
826 Highway 12 W
Starkville, MS 39759-3582
Other providers in Starkville, MS
- Thomas Blake Balzli
- Baptist Memorial Hosp Oktibbeha County Inc.
- Baptist Memorial Hosp Oktibbeha County Inc.
- Baptist Memorial Hosp Oktibbeha County Inc.
- Mallory Barber
- Janice Baxter
- Baze Pharmacy LLC
- George Ray Beals
- Kim L Beard
- Laquita Eloise Bedford
All providers in Starkville, MS · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.