BETHANY BILLUPS (NPI# 1083214480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083214480 |
| Entity Type | Individual |
| Full Name | BETHANY BILLUPS |
| Other Name | BETHANY STALLO |
| Practice Address |
1301 E Highway 24 Moberly MO 65270-3655 |
| Mailing Address |
33628 Brummal Rd Salisbury MO 65281-2598 |
| Practice Telephone | 6602630494 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2019025917 | MO | Pharmacy Service Providers |
| Street Address |
1301 E HIGHWAY 24 |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871510198 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1301 E Highway 24, Moberly, MO 65270-3683 | 2006-07-16 |
| 1962814541 | Barbara Ann Woodcock | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2014-05-29 |
| 1831472760 | Kimberly Moore | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2011-09-27 |
| 1275730038 | My Eye Doctor, LLC | Optometrist | 1301 E Highway 24, Inside Wal-mart Vision Center, Moberly, MO 65270-3683 | 2007-06-27 |
| 1215018114 | Wal-mart Stores East, Lp | Technician/Technologist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2006-10-18 |
| 1104839661 | Kevin Dean Gunnerson | Optometrist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| 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 |
|---|---|---|---|---|
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1891306528 | Ian Thacker | Pharmacist | 1711 N Morley St, Moberly, MO 65270-3630 | 2020-08-14 |
| 1558970475 | Brandie Lynn Wilkerson | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2020-07-27 |
| 1841737582 | Anne C. Eisenbeis | Pharmacist | 530 East 24 Highway, Moberly, MO 65270 | 2017-01-19 |
| 1609233956 | Rhonda Cachero | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2016-01-18 |
| 1780060855 | Kerri Manson | Pharmacist | 530 E Highway 24, Moberly, MO 65270-3622 | 2015-07-30 |
| 1962814541 | Barbara Ann Woodcock | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2014-05-29 |
| 1275810558 | Shirley Marie Kribbs | Pharmacist | 1711 N Morley St, Moberly, MO 65270-3630 | 2011-11-14 |
| 1427334135 | Tracie Crawford Lykins | Pharmacist | 300 N. Morley, Moberly, MO 65270 | 2011-10-26 |
| 1831472760 | Kimberly Moore | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2011-09-27 |
| Find all providers in MOBERLY | ||||
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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.