MRS. MICHELLE BOBBETT (NPI# 1053978643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053978643 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE BOBBETT |
| Practice Address |
605 N Main St Ironton MO 63650-1006 |
| Practice Telephone | 5735467915 |
| Mailing Telephone | 5735467915 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2005022605 | MO | Pharmacy Service Providers |
| Street Address |
605 N MAIN ST |
| City | IRONTON |
| State | MO |
| Zip Code | 63650-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578542924 | Arcadia Valley Drug Acquisition Co | Durable Medical Equipment & Medical Supplies | 605 N Main St, Ironton, MO 63650-1006 | 2006-01-13 |
| 1184016578 | Rebecca Barron | Pharmacist | 605 N Main St, Ironton, MO 63650-1006 | 2015-02-23 |
| 1902152929 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 605 N Main St, Ironton, MO 63650-1006 | 2012-07-27 |
| 1831457027 | Frederick G Dietzler | Pharmacist | 605 N Main St, Ironton, MO 63650-1006 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972756633 | East Missouri Action Agency, Inc | Clinic/Center | 606 West Russell, Ironton, MO 63650 | 2008-10-28 |
| 1326008533 | Vatana C. Boonyasai | Family Medicine | 200 St.mary's Street, Lower Level, Pilot Knob, MO 63650 | 2006-03-23 |
| 1194074302 | Robert Franklin Dettmer Sr. | General Practice | 3 Longwood Lane, Ironton, MO 63650-0307 | 2012-09-04 |
| 1831417682 | Southeast Missouri Behavioral Health | Clinic/Center | 143 S Main St, Ironton, MO 63650-1305 | 2010-05-04 |
| 1942451083 | Erika Michelle Parks | Pharmacist | 124 W Russell St, Ironton, MO 63650-1313 | 2008-10-07 |
| 1417050659 | John David Auner | Family Medicine | 128 W Russell St, Ironton, MO 63650-1313 | 2006-09-06 |
| 1013372952 | Laura E Haynes | Pharmacist | 124 W Russell St, Ironton, MO 63650-1313 | 2015-12-18 |
| 1619219680 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 124 W Russell St, Ironton, MO 63650-1313 | 2013-03-18 |
| 1225131485 | Sylvia Martin | Registered Nurse | 128 W Russell St, Ironton, MO 63650-1313 | 2006-09-06 |
| 1083717243 | Connie Lynn Inman | Nurse's Aide | 128 W Russell St, Ironton, MO 63650-1313 | 2006-09-06 |
| Find all providers in zip 63650 | ||||
| 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 |
|---|---|---|---|---|
| 1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
| 1942451083 | Erika Michelle Parks | Pharmacist | 124 W Russell St, Ironton, MO 63650-1313 | 2008-10-07 |
| 1114928264 | Danny R Bentley | Pharmacist | 505 S 3rd St, Ironton, OH 45638-1835 | 2005-08-10 |
| 1093230484 | Herbert Wayne Butterbaugh | Pharmacist | 715 Park Ave, Ironton, OH 45638-1544 | 2017-08-07 |
| 1720431612 | Tonia Hall-wade | Pharmacist | 1848 State Route 141, Ironton, OH 45638-5213 | 2016-07-15 |
| 1386090082 | Mary Eileen Hannahan | Pharmacist | 1848 State Route 141, Ironton, OH 45638-5213 | 2016-05-11 |
| 1013372952 | Laura E Haynes | Pharmacist | 124 W Russell St, Ironton, MO 63650-1313 | 2015-12-18 |
| 1811372162 | Angela Wirzfeld | Pharmacist | 912 Park Ave, Ironton, OH 45638-1596 | 2015-07-28 |
| 1184016578 | Rebecca Barron | Pharmacist | 605 N Main St, Ironton, MO 63650-1006 | 2015-02-23 |
| 1578984290 | Faith Leann Wolfenbarker | Pharmacist | 912 Park Ave Ste 105, Ironton, OH 45638-1596 | 2013-12-23 |
| Find all providers in IRONTON | ||||
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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.