ELIZABETH ANN RIDGWAY (NPI# 1104432145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104432145 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN RIDGWAY |
| Credential | PHARMD |
| Practice Address |
920 N Main St O Fallon MO 63366-1746 |
| Mailing Address |
1515 Lafayette Ave Unit 107 Saint Louis MO 63104-3345 |
| Practice Telephone | 6363792636 |
| Mailing Telephone | 5732533891 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2020030201 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508080276 | Elizabeth Mary Ridgway | Occupational Therapist | 1165 Morris Park Ave Fl 4, Bronx, NY 10461-1915 | 2007-04-12 |
| 1164528329 | Elizabeth Wilson Ridgway | Pediatrics | 557 East Broadway, Jackson, WY 83001 | 2006-09-15 |
| Street Address |
920 N MAIN ST |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548205008 | Jennifer Testerman | Nurse Practitioner | 920 N Main St, O Fallon, MO 63366-1746 | 2006-06-18 |
| 1215540125 | Rachel Dove | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2020-08-29 |
| 1962015487 | Jeanine M Badwan | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2020-08-25 |
| 1073903241 | Dawn Marie Johns | Nurse Practitioner | 920 N Main St, O Fallon, MO 63366-1746 | 2015-01-27 |
| 1538406954 | Lara Ann Penn | Nurse Practitioner | 920 N Main St, O Fallon, MO 63366-1746 | 2013-01-04 |
| 1174890859 | Robert Carl Palmer | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2011-11-22 |
| 1285901066 | Thomas Eugene Mckean Jr. | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2011-11-22 |
| 1659654739 | Erin Nicole Diepenbrock | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2011-09-24 |
| 1154652360 | Lara M Burnett | Nurse Practitioner | 920 N Main St, O Fallon, MO 63366-1746 | 2010-01-28 |
| 1619984622 | Walgreen Co | Pharmacy | 920 N Main St, O Fallon, MO 63366-1746 | 2006-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| 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 |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1376194134 | Michael Charles Cornwall | Pharmacist | 21 Shallowbrook Dr, O Fallon, IL 62269-1214 | 2019-09-24 |
| 1023594249 | Brandon Frey | Pharmacist | 907 E Highway 50, O Fallon, IL 62269-2856 | 2018-07-11 |
| 1235677170 | Shannon Carlisle | Pharmacist | 2605 Mclean Ct, O Fallon, MO 63368-7611 | 2017-02-10 |
| 1558702050 | Katherine Michelle Derickson | Pharmacist | 247 Pheasant Point Blvd, O Fallon, MO 63368-7311 | 2013-07-12 |
| 1013262039 | Charles Smith | Pharmacist | 601 W Falls Ct, O Fallon, MO 63368-9646 | 2012-07-16 |
| 1457626384 | Jennifer Conrad | Pharmacist | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2012-03-10 |
| 1891071668 | Lisa L Houston | Pharmacist | 24 Sterling Crossing Ct, O Fallon, MO 63368-7367 | 2011-10-25 |
| 1053694158 | Walgreens | Pharmacist | 106 Huntington Crossing Dr, O Fallon, MO 63376-4271 | 2011-09-25 |
| 1366725616 | Anthony P Webb | Pharmacist | 801 Highway K, O Fallon, MO 63366-2996 | 2011-09-23 |
| Find all providers in O FALLON | ||||
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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.