Healthcare Provider Details

I. General information

NPI: 1831030261
Provider Name (Legal Business Name): JAMEIKA MESHAY STUCKEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N STATE ST
JACKSON MS
39216-4500
US

IV. Provider business mailing address

5817 LAKE TRACE CIR
JACKSON MS
39211-3347
US

V. Phone/Fax

Practice location:
  • Phone: 601-815-3856
  • Fax:
Mailing address:
  • Phone: 601-955-3772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE-010367
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: