Ocheze Anyamele
Individual provider Active NPI Pharmacist · Jackson, MS
NPI 1942579883 · NPPES record last updated Dec 21, 2011
Key facts
- NPI
- 1942579883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-010038 (MS)
- Practice address
- 3835 Northbrook Dr
Jackson, MS 39206-5232 - Phone
- (601) 362-6409
- Fax
- (601) 362-9363
- NPI assigned
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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-010038 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-010038 | MS | Yes |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | E-010038 | MS |
Addresses
Primary practice location
3835 Northbrook Dr
Jackson, MS 39206-5232
Mailing address
3835 Northbrook Dr
Jackson, MS 39206-5232
Phone (601) 362-6409
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2011. 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.