STEPHANIE DIANNE RAY (NPI# 1073158366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073158366 |
| Entity Type | Individual |
| Full Name | STEPHANIE DIANNE RAY |
| Practice Address |
3930 44th Avenue Dr Moline IL 61265-6401 |
| Mailing Address |
2722 8th Street Ct Moline IL 61265-5175 |
| Practice Telephone | 3097362275 |
| Practice Fax Number | 3097362277 |
| Mailing Telephone | 3097386851 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051035072 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922641521 | Stephanie Ray | Physician Assistant | 1900 Ascot Pkwy Apt 1413, Vallejo, CA 94591-8337 | 2019-10-26 |
| 1295184711 | Stephanie Ray | Developmental Therapist | 1631 Chatsworth St, Lake Placid, FL 33852-5715 | 2016-06-06 |
| 1770947624 | Stephanie Ray | Student in an Organized Health Care Education/Training Program | 2539 Cecilia Sr High School Hwy, Breaux Bridge, LA 70517-6828 | 2016-04-07 |
| 1023431053 | Stephanie Ray | Counselor | 2028 E Wyandotte St, Olathe, KS 66062-3204 | 2014-01-27 |
| 1629327168 | Stephanie M Ray | Counselor | 3358 Waldrop Trl, Decatur, GA 30034-7425 | 2012-08-30 |
| 1750533170 | Stephanie Ray | Physical Therapist | 16 W Carleton Rd, Suite 1, Hillsdale, MI 49242 | 2008-10-16 |
| 1316068067 | Stephanie Danean Ray | Optometrist | 8930 Keystone Xing, Indianapolis, IN 46240-2179 | 2007-04-02 |
| 1215290887 | Stephanie Ray | Occupational Therapist | 1454 Fairfield Loop Rd, Crownsville, MD 21032 | 2012-06-19 |
| 1437284759 | Stephanie R. Ray | Social Worker | 3510 Frederick Ave, Saint Joseph, MO 64506-2987 | 2007-02-23 |
| Street Address |
3930 44TH AVENUE DR |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043283146 | Sara R Kurtis | Optometrist | 3930 44th Avenue Dr, Moline, IL 61265-6401 | 2006-02-09 |
| 1891330148 | Kathleen Diane Franks | Pharmacist | 3930 44th Avenue Dr, Moline, IL 61265-6401 | 2019-11-11 |
| 1629546338 | Francisco Salvador Castaneda | Pharmacy | 3930 44th Avenue Dr, Moline, IL 61265-6401 | 2018-11-12 |
| 1639250731 | Wal-mart Stores, Inc | Technician/Technologist | 3930 44th Avenue Dr, Moline, IL 61265-6401 | 2006-10-17 |
| 1871510164 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3930 44th Avenue Dr, Moline, IL 61265-6401 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1447880760 | Tracy C Shewell | Pharmacist | 3930 44th Avenue Dr Stop 1, Moline, IL 61265-3893 | 2020-01-26 |
| 1891159554 | Kimberly Kay Sommers | Pharmacist | 5000 Avenue of The Cities, Moline, IL 61265-4556 | 2016-04-08 |
| 1639449515 | Mark G Renier | Pharmacist | 901 6th Street Dr, Moline, IL 61265-1291 | 2012-01-09 |
| 1487876173 | Patrick H Hintz | Pharmacist | 4128 Avenue of The Cities, Moline, IL 61265 | 2007-05-03 |
| 1396716015 | Marty Jon Milefchik | Pharmacist | 2014 1st Street A, Moline, IL 61265-7728 | 2006-01-30 |
| 1558972265 | Tracy Knobeloch | Pharmacist | 555 19th Ave, Moline, IL 61265-3761 | 2020-08-14 |
| 1982225942 | Nicole Savatski | Pharmacist | 750 42nd Avenue Dr, Moline, IL 61265-6893 | 2020-04-30 |
| 1891330148 | Kathleen Diane Franks | Pharmacist | 3930 44th Avenue Dr, Moline, IL 61265-6401 | 2019-11-11 |
| 1972953024 | Andrea Themas | Pharmacist | 2014 1st Street A, Moline, IL 61265-7728 | 2016-06-20 |
| 1346615358 | Emily Willie | Pharmacist | 900 42nd Avenue Dr, Moline, IL 61265-6871 | 2015-12-02 |
| Find all providers in MOLINE | ||||
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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.