Healthcare Provider Details

I. General information

NPI: 1699940536
Provider Name (Legal Business Name): JAMIE D MESSENGER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HEART DRIVE MAIL STOP 654
GREENVILLE NC
27834-4300
US

IV. Provider business mailing address

101 HEART DRIVE MAIL STOP 654
GREENVILLE NC
27834-4300
US

V. Phone/Fax

Practice location:
  • Phone: 252-744-1358
  • Fax:
Mailing address:
  • Phone: 252-744-1358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16537
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPD09509
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: