MEDICARE: DR. JAYCEE EASTON RPH, PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	24154	IA

General Provider Information

NPI Number	:	1750055638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAYCEE EASTON RPH, PHARMD

Provider Business Mailing Address
First Line	:	281 CUMBERLAND BND APT 131
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37228-1816
Country	:	US
Telephone Number	:	515-249-6548
Fax Number	:

Provider Business Practice Location Address
First Line	:	6635 BASS RD BLDG 9214
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31905-5602
Country	:	US
Telephone Number	:	515-249-6548
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2021
Last Update Date	:	02/12/2025

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