MICHELE VAN DREASON (NPI# 1003090242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003090242 |
| Entity Type | Individual |
| Full Name | MICHELE VAN DREASON |
| Credential | R. PH. |
| Practice Address |
261 Utica Boulevard Boonville NY 13309 |
| Practice Telephone | 3159422509 |
| Mailing Telephone | 3159422509 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 047913 | NY | Pharmacy Service Providers |
| Street Address |
261 UTICA BOULEVARD |
| City | BOONVILLE |
| State | NY |
| Zip Code | 13309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336347822 | Kph Healthcare Services, Inc. | Pharmacy | 261 Utica Boulevard, Boonville, NY 13309 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104058791 | Tracy Bova | Registered Nurse | 13407 New York 12, Boonville, NY 13309 | 2009-08-14 |
| 1487784278 | Bruce Michael Renders | Dentist | 109 Ann Street, Boonville, NY 13309 | 2007-03-07 |
| 1992870570 | Richard L Sears Thomas N Caruso Dds PC | Dentist | 3 Schuyler St, Boonville, NY 13309 | 2006-11-21 |
| 1124265749 | Sushma Sapkota Pandey | Internal Medicine | 13407 State Route 12, Boonville Family Care, Boonville, NY 13309 | 2009-01-20 |
| 1144368127 | Ann F Mellen | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2007-02-02 |
| 1487678447 | Elizabeth Gleasman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2006-07-26 |
| 1164465381 | Toby Kevin Davis | Clinical Neuropsychologist | 137 Main St., Boonville, NY 13309-0696 | 2006-06-14 |
| 1487646279 | Mountain Mental Health Group | Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | 2005-08-17 |
| 1144431511 | Susan Elizabeth Gydesen | Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | 2007-05-25 |
| Find all providers in zip 13309 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104000850 | Michael Jonathan Kramer | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-18 |
| 1134720071 | Sierra Meier | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-11-06 |
| 1992305783 | Brad Lee Boerio | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-29 |
| 1720688666 | Tiffany Lenz | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-29 |
| 1992305767 | Robyn Smith | Pharmacist | 800 Main St, Boonville, MO 65233-1658 | 2020-10-29 |
| 1245830256 | Eric Wyant | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-10-28 |
| 1588264873 | Sabrina Dawn Simmons | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-27 |
| 1356973895 | Nicole Andrea Spencer | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-02-11 |
| 1295919769 | Monica Mazur | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-20 |
| Find all providers in BOONVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.