STACY PETOT (NPI# 1033660477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033660477 |
| Entity Type | Individual |
| Full Name | STACY PETOT |
| Credential | R.PH. |
| Practice Address |
26400 Dixie Hwy Perrysburg OH 43551-1967 |
| Mailing Address |
2307 Heatherwood Dr Toledo OH 43614-3243 |
| Practice Telephone | 5673686010 |
| Mailing Telephone | 4197876710 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | S019573 | AZ | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 3457 | HI | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PHAP1548 | AK | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 26015646A | IN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 5302028935 | MI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 03114984 | OH | Pharmacy Service Providers |
| Street Address |
26400 DIXIE HWY |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215330212 | Costco Wholesale Corporation | Pharmacy | 26400 Dixie Hwy, Perrysburg, OH 43551 | 2014-10-03 |
| 1750769337 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 26400 Dixie Hwy, Perrysburg, OH 43551-1967 | 2015-05-14 |
| 1659767135 | Costco Wholesale Corporation | Hearing Aid Equipment | 26400 Dixie Hwy, Perrysburg, OH 43551-1967 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| 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 |
|---|---|---|---|---|
| 1841841970 | Robert Jed Swackhammer | Pharmacist | 26800 Woodmont Dr Apt 109, Perrysburg, OH 43551-7284 | 2019-09-20 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1295147783 | Mark Alper | Pharmacist | 9859 Connor Lake Cir, Perrysburg, OH 43551-3006 | 2014-06-02 |
| 1801236021 | David Anthony Bitkowski | Pharmacist | 7461 Twin Lakes Rd, Perrysburg, OH 43551-4586 | 2013-07-02 |
| 1861747321 | Fouad Eid | Pharmacist | 3133 Chapel Creek Dr, Perrysburg, OH 43551-8401 | 2012-07-19 |
| 1831474352 | Rima El Terk | Pharmacist | 27015 Heatherford Dr Apt 3, Perrysburg, OH 43551-2675 | 2011-10-16 |
| 1821379389 | Lap Pan Chu | Pharmacist | 25684 Dixie Hwy, Perrysburg, OH 43551-2019 | 2011-08-29 |
| 1043443666 | David Robert Bright | Pharmacist | 27386 Carronade Dr, Perrysburg, OH 43551-3368 | 2009-08-30 |
| 1346499290 | Deborah Ann Berlekamp | Pharmacist | 903 Pine St, Perrysburg, OH 43551-1634 | 2008-09-16 |
| 1134386121 | Brian Wade Sell | Pharmacist | 1175 Louisiana Ave, Perrysburg, OH 43551-2537 | 2008-05-19 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
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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.