JACKIE LEE STILTNER (NPI# 1003141631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003141631 |
| Entity Type | Individual |
| Full Name | JACKIE LEE STILTNER |
| Practice Address |
11349 State Hwy 1056 Buskirk Plaza Rite Aid Mccarr KY 41544 |
| Mailing Address |
13685 Grapevine Rd Phyllis KY 41554-8504 |
| Practice Telephone | 6064279007 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 014680 | KY | Pharmacy Service Providers |
| Street Address |
11349 STATE HWY 1056 BUSKIRK PLAZA RITE AID |
| City | MCCARR |
| State | KY |
| Zip Code | 41544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992228266 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11349 State Hwy 1056, Mc Carr, KY 41544 | 2017-07-19 |
| 1063968048 | Keith Fuller | Pharmacist | 11349 St Hwy 1056, Mccarr, KY 41544 | 2016-08-30 |
| 1144622473 | Donovan Bentley | Pharmacist | 11349 State Highway1056, Buskirk Plaza, Mccarr, KY 41544 | 2014-09-18 |
| 1992820823 | Michael Dillon Sutherland | Pharmacist | 11349 State Highway 1056, Mccarr, KY 41544 | 2007-03-20 |
| 1720503600 | Rachel Kendra Blackburn | Pharmacist | 11349 State Highway 1056, Mc Carr, KY 41544 | 2017-08-11 |
| 1710356605 | Christopher Aaron Cook | Pharmacist | 11349 State Highway 1056, Buskirk Plaza, Mccarr, KY 41544 | 2015-09-21 |
| 1598874067 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 11349 State Highway 1056, Mc Carr, KY 41544-8543 | 2006-08-29 |
| 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 |
|---|---|---|---|---|
| 1063968048 | Keith Fuller | Pharmacist | 11349 St Hwy 1056, Mccarr, KY 41544 | 2016-08-30 |
| 1144622473 | Donovan Bentley | Pharmacist | 11349 State Highway1056, Buskirk Plaza, Mccarr, KY 41544 | 2014-09-18 |
| 1992820823 | Michael Dillon Sutherland | Pharmacist | 11349 State Highway 1056, Mccarr, KY 41544 | 2007-03-20 |
| 1710356605 | Christopher Aaron Cook | Pharmacist | 11349 State Highway 1056, Buskirk Plaza, Mccarr, KY 41544 | 2015-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1619578812 | Heather Lerae Moore | Pharmacist | 589 Hwy West 92, Williamsburg, KY 407690 | 2020-11-04 |
| 1780285080 | Lori Slusher | Pharmacist | 228 Hawthorne Dr, Nicholasville, KY 40356-8909 | 2020-11-03 |
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1730789348 | Benjamin Gary Powell | Pharmacist | 3106 Canton Pike, Hopkinsville, KY 42240-1316 | 2020-11-01 |
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1447850789 | Caitlin Brooke Callihan | Pharmacist | 1001 Cherry Blossom Way # Way7, Georgetown, KY 40324-9564 | 2020-10-27 |
| 1871193391 | Christy Mcquade | Pharmacist | 820 Bypass Rd, Winchester, KY 40391-1002 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.