GRAYSON NORMAN SCHENK (NPI# 1104315225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104315225 |
| Entity Type | Individual |
| Full Name | GRAYSON NORMAN SCHENK |
| Practice Address |
2100 12th Ave Rd Nampa ID 83686-6441 |
| Mailing Address |
2832 W Tenuta St Meridian ID 83646-3230 |
| Practice Telephone | 2084675159 |
| Practice Fax Number | 2084675447 |
| Mailing Telephone | 2082011404 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 18143 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | P6641 | ID | Pharmacy Service Providers |
| Street Address |
2100 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083631337 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-07-16 |
| 1326582446 | Infinite Vision Pllc | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2016-12-08 |
| 1396120234 | Paul M Brewer | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2015-07-21 |
| 1326457276 | Regina Stevenson | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-05 |
| 1700295821 | Spencer Dalling | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-04 |
| 1043629082 | Dennis Tofteland | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-04 |
| 1326128489 | Wal-mart Stores, Inc | Technician/Technologist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-10-16 |
| 1942316054 | Alan Richard Smith | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| 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 |
|---|---|---|---|---|
| 1588117436 | Elizabeth Mangeac | Pharmacist | 175 S Middleton Rd, Nampa, ID 83686-8124 | 2016-07-27 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1437498235 | George Turgoose | Pharmacist | 2219 12th Avenue, Nampa, ID 83686 | 2013-02-14 |
| 1700143872 | Victor F Allen | Pharmacist | 1603a 12th Ave Rd, Nampa, ID 83686 | 2012-04-13 |
| 1851667182 | Amanda R Harrison | Pharmacist | 16700 N Marketplace Blvd, Nampa, ID 83687-7909 | 2012-03-30 |
| 1942574678 | Keely Gregory | Pharmacist | 215 E Hawaii Ave Ste 100, Nampa, ID 83686 | 2012-02-27 |
| 1225329287 | Denise Ann Graveline | Pharmacist | 16700 N Marketplace, Nampa, ID 83644 | 2011-04-26 |
| 1700183209 | Bette Robbins | Pharmacist | 118 S Midland Blvd, Nampa, ID 83686-2601 | 2011-02-17 |
| 1720384878 | Susan Kemp | Pharmacist | 16300 N Market Place Blvd, Nampa, ID 83687-7910 | 2011-02-08 |
| 1457673741 | Michael Rixford Proudfoot | Pharmacist | 1813 Caldwell Blvd, Nampa, ID 83651-1505 | 2010-02-27 |
| Find all providers in NAMPA | ||||
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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.