Provider Demographics
NPI:1194452359
Name:DOWNS, JERAMY (PHARMD)
Entity type:Individual
Prefix:
First Name:JERAMY
Middle Name:
Last Name:DOWNS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6229 MERRILL RD
Mailing Address - Street 2:
Mailing Address - City:LUCEDALE
Mailing Address - State:MS
Mailing Address - Zip Code:39452-5429
Mailing Address - Country:US
Mailing Address - Phone:228-327-2588
Mailing Address - Fax:
Practice Address - Street 1:1017 HIGHWAY 57
Practice Address - Street 2:
Practice Address - City:LEAKESVILLE
Practice Address - State:MS
Practice Address - Zip Code:39451-5807
Practice Address - Country:US
Practice Address - Phone:601-394-4720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-06
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-12173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist