Provider Demographics
NPI:1275152043
Name:BARNHART, JAY RICHARD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:RICHARD
Last Name:BARNHART
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 LAKELAND DR STE 201
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-7656
Mailing Address - Country:US
Mailing Address - Phone:866-420-4041
Mailing Address - Fax:601-420-4040
Practice Address - Street 1:2506 LAKELAND DR STE 201
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-7656
Practice Address - Country:US
Practice Address - Phone:866-420-4041
Practice Address - Fax:601-420-4040
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-14923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist