MR. MARK D KRUEGER (NPI# 1114092301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114092301 |
| Entity Type | Individual |
| Full Name | MR. MARK D KRUEGER |
| Credential | PHARMD, BCNP |
| Practice Address |
650 Joel Dr Blanchfield Army Community Hospital Ft. Campbell KY 42223-5349 |
| Practice Telephone | 2707988727 |
| Practice Fax Number | 2709560180 |
| Mailing Telephone | 2707988727 |
| Mailing Fax Number | 2709560180 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9837 | SC | Pharmacy Service Providers |
| Street Address |
650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL |
| City | FT. CAMPBELL |
| State | KY |
| Zip Code | 42223-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649464264 | Daniel Francis Comeaux | Physician Assistant | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2007-08-28 |
| 1144395534 | Sherry L Fanara | Counselor | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-11-21 |
| 1326113812 | Sherry L Hedrick | Physician Assistant | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-11-21 |
| 1720153117 | Whitney A Devers | Psychologist | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-11-21 |
| 1477628865 | Robert J Crouch IIi | Physician Assistant | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-11-21 |
| 1063479046 | Kathy L Morgan | Licensed Practical Nurse | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223 | 2006-04-26 |
| 1871569178 | David Edward Mendoza | Pathology | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-02-27 |
| 1790751022 | Phillip Daniel Brooks | Radiology | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-02-27 |
| 1801862164 | Mark Trawinski | Family Medicine | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-02-27 |
| 1265408744 | Jay Stefan Gorban | Psychologist | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| 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 |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1619578812 | Heather Lerae Moore | Pharmacist | 589 Hwy West 92, Williamsburg, KY 407690 | 2020-11-04 |
| 1780285080 | Lori Slusher | Pharmacist | 228 Hawthorne Dr, Nicholasville, KY 40356-8909 | 2020-11-03 |
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1730789348 | Benjamin Gary Powell | Pharmacist | 3106 Canton Pike, Hopkinsville, KY 42240-1316 | 2020-11-01 |
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1447850789 | Caitlin Brooke Callihan | Pharmacist | 1001 Cherry Blossom Way # Way7, Georgetown, KY 40324-9564 | 2020-10-27 |
| 1871193391 | Christy Mcquade | Pharmacist | 820 Bypass Rd, Winchester, KY 40391-1002 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | FT. CAMPBELL |
| Zip Code | 42223 |
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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.