ETHAN HODGES (NPI# 1114233137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114233137 |
| Entity Type | Individual |
| Full Name | ETHAN HODGES |
| Practice Address |
12174 Kanawa St Beckley WV 24801-0974 |
| Mailing Address |
Po Box 974 Pounding Mill VA 24637-0974 |
| Practice Telephone | 2767015362 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2013-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0008219 | WV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169639 | Ethan Hodges | Physical Therapist | 4240 Balmoral Dr Sw Ste 100, Huntsville, AL 35801-5633 | 2019-05-17 |
| Street Address |
12174 KANAWA ST |
| City | BECKLEY |
| State | WV |
| Zip Code | 24801-0974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
| 1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
| 1154929545 | Amber Stacy | Technician | 3057 Maple Acres Road, Bluefield, WV 24801 | 2020-10-16 |
| 1639625270 | Kelly Beth Belt | Physician Assistant | 454 Mcdowell Street, Welch, WV 24801 | 2016-09-01 |
| 1396177333 | Donna Flaim | Physician Assistant | 19771 Coal Heritage Road Suite102, Welch, WV 24801 | 2013-08-01 |
| 1821437617 | Joshua Matthew Hopkins | Physician Assistant | 19771 Coal Heritage Road Suite 102, Welch, WV 24801 | 2013-06-14 |
| 1417088741 | Mcdowell Professioal Sleep Lab | Specialist/Technologist, Other | Route52 Main Street, Welch, WV 24801 | 2007-03-08 |
| 1073656641 | Looney Enterprises LLC | Optometrist | 794 Virginia Ave., Welch, WV 24801 | 2007-02-14 |
| 1124115829 | Rahmet Muzaffer | Pediatrics | 66 Elkins Street, Welch, WV 24801 | 2006-10-06 |
| 1619920600 | Nichole Maureen Horsford, M.d. | Psychiatry & Neurology | 151 Rt. 52 North, Welch, WV 24801 | 2006-05-18 |
| Find all providers in zip 24801 | ||||
| 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 |
|---|---|---|---|---|
| 1528674454 | Zachary Michael Carry | Pharmacist | 234 Manor Dr, Beckley, WV 25801-2534 | 2020-09-16 |
| 1982167847 | Evan Brush | Pharmacist | 3413 Robert C Byrd Dr, Beckley, WV 25801-3756 | 2019-04-08 |
| 1760931976 | Kurt Meadows | Pharmacist | 133 Beckley Crossing Shpg Ctr, Beckley, WV 25801-7100 | 2016-09-28 |
| 1386018802 | Franklin Ferrell II | Pharmacist | 2987 Robert C. Byrd Drive, Beckley, WV 25801 | 2015-11-20 |
| 1568842870 | Kayla Dunford | Pharmacist | 301 Beckley Plz, Beckley, WV 25801-2215 | 2015-06-02 |
| 1770912735 | Andy Duong | Pharmacist | 719 Johnstown Rd, Beckley, WV 25801-4821 | 2013-11-09 |
| 1861741688 | Sudhir Rajaure | Pharmacist | 218 Skyview Dr, Beckley, WV 25801-3139 | 2012-09-07 |
| 1376891382 | Samuel Saul Siegel | Pharmacist | 300 N Kanawha St, Suite 207, Beckley, WV 25801-4736 | 2012-08-22 |
| 1720334618 | Thulbert Lee Neely | Pharmacist | 102 Greenwood Dr, Beckley, WV 25801-2316 | 2012-07-27 |
| 1265709943 | Sarah Lucas | Pharmacist | 382 Lower Sandlick Rd, Beckley, WV 25801-9006 | 2011-11-22 |
| Find all providers in BECKLEY | ||||
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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.