DR. DOMONIQUE VAN BUREN PHARM D - NPI 1245581255

Q: What is Domonique Van Buren's NPI number?

The NPI number for Domonique Van Buren is 1245581255. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Q: What is Domonique Van Buren's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

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About Dr. Domonique Van Buren Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOMONIQUE VAN BUREN PHARM D (NPI 1245581255) is an individual pharmacist in Jackson, Mississippi, licensed in Mississippi (T-15181) and active in the NPI registry since October 2012. She maintains a secondary practice location in Metairie.

NPPES Registry Identity

NPI1245581255

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameDR. DOMONIQUE VAN BURENCredential: PHARM D

Location Address805 E RIVER PLJackson, MS 39202-3486

Mailing Address805 E River PlJackson, MS 39202-3486 · (601) 500-7660

Phone(601) 500-7660

Sole ProprietorNo

Enumeration DateOctober 1, 2012

Last NPPES UpdateMarch 4, 2021

NPPES CertifiedNovember 10, 2020

✔ NPI 1245581255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in MS · T-15181✔ Licensed in LA · PST.020307

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

805 E RIVER PL, Jackson, MS 39202

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Secondary Practice Location 1

Location 14545 W Esplanade AveMetairie, LA 70006-2800 · Phone (504) 888-0472

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MELISSA YVONNE WHITE NP

Nurse Practitioner (Family)