Jacenta Matthews, PHARMD

Pharmacist · Vicksburg, MS

Individual Active NPI

NPI number 1245706803

Practice location

1435 N Frontage Rd
Vicksburg, MS 39180-5170
Phone
(601) 661-9652

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NPI record

NPI
1245706803
Entity type
Individual (Type 1)
Enumeration date
October 22, 2018
Last updated
September 18, 2020
Certified
September 18, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PST.022886 LA
Pharmacist 183500000X E15632 MS

Mailing address

1842 Tita St
New Orleans, LA 70114-3383

About Dr. Matthews

Jacenta Matthews, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1435 N Frontage Rd, Vicksburg, MS 39180-5170. The NPI number 1245706803 was assigned on October 22, 2018 and the record was last updated on September 18, 2020.

Dr. Matthews lists 2 licenses in the registry: #PST.022886 (LA) for Pharmacist; #E15632 (MS) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacenta Matthews, PHARMD?

The NPI number is 1245706803.

What is the phone number of Dr. Matthews?

The phone number listed for the practice location is (601) 661-9652.

Where is Dr. Matthews located?

1435 N Frontage Rd, Vicksburg, MS 39180-5170.

What is the taxonomy code for Dr. Matthews?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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