LEE OWEN CUNNINGHAM (NPI# 1104427624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104427624 |
| Entity Type | Individual |
| Full Name | LEE OWEN CUNNINGHAM |
| Credential | PHARM.D |
| Practice Address |
323 E Grand St Springfield MO 65807-1447 |
| Practice Telephone | 4177616350 |
| Practice Fax Number | 4177616351 |
| Mailing Telephone | 4177616350 |
| Mailing Fax Number | 4177616351 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
2016024001 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 0000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366840035 | Lee Cunningham | Counselor | 2855 South Service Dr., Red Wing, MN 55066-1835 | 2014-12-12 |
| 1679764625 | Lee Ann Cunningham | Registered Nurse | 4027 College Hill Rd, Cambridge, OH 43725-9726 | 2007-08-06 |
| 1124439310 | Lee Owen Cunningham Jr. | Pharmacist | 5571 N Gretna Rd, Branson, MO 65616-7287 | 2014-05-11 |
| 1720344310 | Lee Cunningham | Emergency Medicine | 500 Sw Ramsey Avenue, Grants Pass, OR 97527-5554 | 2012-04-08 |
| Street Address |
323 E GRAND ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144202912 | Erika L Crabtree | Counselor | 323 E Grand St, Springfield, MO 65807-1447 | 2005-11-17 |
| 1922513894 | Micah A Gillen | Counselor | 323 E Grand St, Springfield, MO 65807-1447 | 2017-12-13 |
| 1548612468 | Tedra E Estis | Nurse Practitioner | 323 E Grand St, Springfield, MO 65807-1447 | 2016-07-02 |
| 1194190066 | Burrell, Inc. | Pharmacy | 323 E Grand St, Springfield, MO 65807-1447 | 2015-12-03 |
| 1295113694 | Jeremy W Dickson | Counselor | 323 E Grand St, Springfield, MO 65807 | 2015-05-18 |
| 1396144051 | Tanya Rea Johnson | Counselor | 323 E Grand St, Springfield, MO 65807-1447 | 2014-08-19 |
| 1730475666 | Susan Michelle Baker | Counselor | 323 E Grand St, Springfield, MO 65807-1447 | 2011-06-20 |
| 1942523493 | Cristin R Martinez | Counselor | 323 E Grand St, Springfield, MO 65807-1447 | 2010-03-11 |
| 1093848913 | Advocates for A Healthy Community, Inc | Clinic/Center | 323 E Grand St, Springfield, MO 65807-1447 | 2007-03-13 |
| 1588773477 | Advocates for A Healthy Community, Inc. | Clinic/Center | 323 E Grand St, Springfield, MO 65807-1447 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| 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 |
|---|---|---|---|---|
| 1609150564 | Steve C Platou | Pharmacist | 2159 S. Campbell Ave, Springfield, MO 65807 | 2011-10-10 |
| 1295018422 | Gregory James Serocki | Pharmacist | 3189 S Woodstock Ave, Springfield, MO 65809-4146 | 2011-09-23 |
| 1306995378 | Chad Michael Graue | Pharmacist | 7409 Piper Glen Dr, Springfield, IL 62711-7092 | 2007-01-09 |
| 1437235314 | Scott Bergman | Pharmacist | 701 N 1st St # 19636, Siu Infectious Diseases, Springfield, IL 62702-3757 | 2006-10-31 |
| 1083695811 | John Mark Ruscin | Pharmacist | 701 N. First Street, Springfield, IL 62794-9636 | 2005-11-09 |
| 1093316515 | Susan B Nutter | Pharmacist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-02 |
| 1740802263 | Linda Pien | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-05-07 |
| 1700423910 | Jennifer Marie Anna Smola | Pharmacist | 3300 Main St Ste 2a, Springfield, MA 01199-1002 | 2019-12-06 |
| 1922546001 | Terri Cook | Pharmacist | 2730 Gateway St, Springfield, OR 97477 | 2017-02-08 |
| 1225400799 | Charles Trebilcock | Pharmacist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2015-10-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on LEE OWEN CUNNINGHAM.
| 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.