MRS. BETH ANN LONGBRAKE (NPI# 1053721852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053721852 |
Entity Type | Individual |
Full Name | MRS. BETH ANN LONGBRAKE |
Practice Address |
5020 Grape Rd Mishawaka IN 46545-8708 |
Practice Telephone | 5742733533 |
Practice Fax Number | 5742733565 |
Enumeration Date | 2014-05-01 |
Last Update Date | 2014-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26019104A | IN | Pharmacy Service Providers |
Street Address |
5020 GRAPE RD |
City | MISHAWAKA |
State | IN |
Zip Code | 46545-8708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932479730 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 5020 Grape Rd, Mishawaka, IN 46545-8708 | 2012-01-10 |
1417408352 | Sara D Herr | Pharmacist | 5020 Grape Rd, Mishawaka, IN 46545-8708 | 2016-10-15 |
1235522921 | Erin Paynich | Pharmacist | 5020 Grape Rd, Mishawaka, IN 46545-8708 | 2015-03-05 |
1245639640 | Ramandeep Sohi | Pharmacist | 5020 Grape Rd, Mishawaka, IN 46545-8708 | 2014-08-21 |
1700298080 | Mike Thompson | Pharmacist | 5020 Grape Rd, Mishawaka, IN 46545-8708 | 2014-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
Find all providers in zip 46545 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124438023 | Mark Schutts | Pharmacist | 3610 Bremen Hwy, Mishawaka, IN 46544-6500 | 2014-04-30 |
1871595579 | Anita Marie Thomas | Pharmacist | 201 Lincoln Way W, Healthy Family Center, Mishawaka, IN 46544-1905 | 2005-08-12 |
1083102065 | Joseph Alan Stoldt | Pharmacist | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2018-04-25 |
1427456912 | Hanna Raber | Pharmacist | 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 | 2014-12-15 |
1629483615 | David Alexander | Pharmacist | 3610 Bremen Hwy, Mishawaka, IN 46544-6500 | 2014-06-27 |
1720400328 | Kierstan Hanson | Pharmacist | 611 E Douglas Rd, Suite 412, Mishawaka, IN 46545-1464 | 2014-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265989933 | Lauren Mcnace | Pharmacist | 10062 Heather Brooke Dr, Osceola, IN 46561-7803 | 2016-09-09 |
1568833960 | Dawn D Christmas | Pharmacist | 5600 New Margaret Ave, Terre Haute, IN 47803 | 2015-10-12 |
1902277437 | Erin Haggart | Pharmacist | 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 | 2015-10-09 |
1922415066 | Meredith L Howard | Pharmacist | 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 | 2014-07-21 |
1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
1174934558 | Kristen Brock | Pharmacist | 400 N Dan Jones Rd, Plainfield, IN 46168-1802 | 2014-05-19 |
1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
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.