Mark Alan Graham , RPH
Pharmacist • Jackson, MS
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Graham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mark Graham, RPH was a registered Pharmacist practicing in Jackson, MS. Throughout an active medical career spanning 12 years, Mark Graham provided care at the practice location at 4329 N STATE ST until profile deactivation on 2025-05-08.
Practice Location & Contact Primary Location
4329 N State St
Ste #10
Jackson, MS 392065261
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Jackson, MS
Practicing in Jackson, MS (2321 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 08, 2025
NPI status registered as active in NPPES database
Registered at 4329 N STATE ST, STE #10, JACKSON, MS 392065261 (Tel: 6013661449)
Registered at 4329 N STATE ST, STE #10, JACKSON, MS 392065261 (Tel: 6013661449)
Recorded as MARK GRAHAM, RPH
Pharmacist (License #E6023 in MS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4329 N State St, Ste #10
Jackson, MS 392065261
Phone: 6013661449
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