HENRY THOMAS KNUDSON (NPI# 1114528502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114528502 |
| Entity Type | Individual |
| Full Name | HENRY THOMAS KNUDSON |
| Credential | PHARMD |
| Practice Address |
100 S Ryan Dr Red Oak TX 75154-4214 |
| Practice Telephone | 9725152066 |
| Mailing Telephone | 9725152066 |
| Mailing Fax Number | 9725152063 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 61210 | TX | Pharmacy Service Providers |
| Street Address |
100 S RYAN DR |
| City | RED OAK |
| State | TX |
| Zip Code | 75154-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669747523 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2012-03-12 |
| 1093316622 | Kelli Dulaney | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-11-02 |
| 1619578200 | Maureen Evelyn Walme-brown | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-11-02 |
| 1013536903 | Vu Uy Nguyen | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-04-10 |
| 1386994184 | Oasis Eye Care, Pllc | Clinic/Center | 100 S Ryan Dr, Wal-mart Vision Center, Red Oak, TX 75154-4214 | 2012-09-19 |
| 1316296213 | Seena Shyu | Optometrist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2012-09-06 |
| 1871868737 | Wal-mart Stores Texas Lp | Technician/Technologist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204814 | Red Oak Smile Center Pllc | Dentist | 300 N Saraf Rd, Ste 108, Red Oak, TX 75154 | 2019-03-14 |
| 1316429392 | Zoe Frances Clement | Specialist/Technologist | 128 Hollie Dr, Red Oak, TX 75154 | 2018-09-05 |
| 1447758685 | Into Loving Hearts & Hands Home Care LLC | Technician | 735 Ashln, Red Oak, TX 75154 | 2018-01-23 |
| 1114442522 | Vista Specialty, LLC | Pharmacy | 600 Methodist St., Suite 1120, Red Oak, TX 75154 | 2017-08-07 |
| 1063945848 | Austin Blvd. Family Dentistry, P.C. | Dentist | 101 Austin Blvd., Ste 100, Red Oak, TX 75154 | 2017-04-07 |
| 1609317148 | Anthony L Strauder | Nurse Anesthetist, Certified Registered | 111 Schley Rd, Red Oak, TX 75154 | 2017-03-16 |
| 1356881668 | Elledge Counseling Associates | Counselor | 328 Pebblebrook, Glenn Heights, TX 75154 | 2017-03-06 |
| 1952840787 | Nathanael Barnes | Nurse Anesthetist, Certified Registered | 100 Country Ridge Ct, Red Oak, TX 75154 | 2017-02-13 |
| 1366802589 | Quicktime Fitness | Chiropractor | 2506 Ovilla Road, Suite B, Red Oak, TX 75154 | 2016-03-01 |
| 1366751919 | Chester Copeland Jr. | Technician/Technologist | 204 London Lane, Glenn Heights, TX 75154 | 2010-09-30 |
| Find all providers in zip 75154 | ||||
| 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 |
|---|---|---|---|---|
| 1639700248 | John Shawn Piper | Pharmacist | 105 E Ovilla Rd, Red Oak, TX 75154-2490 | 2020-02-01 |
| 1861646614 | Masoode S Nikseresht | Pharmacist | 600 Senate Ave, Red Oak, IA 51566-1283 | 2008-11-06 |
| 1093316622 | Kelli Dulaney | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-11-02 |
| 1619578200 | Maureen Evelyn Walme-brown | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-11-02 |
| 1891301388 | Zachary Hiraki | Pharmacist | 600 Senate Ave, Red Oak, IA 51566-1283 | 2020-09-20 |
| 1225640733 | Ali Hyder Syed | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-18 |
| 1285246736 | Yonas Churuko Kolaso | Pharmacist | 107 E Ovilla Rd, Red Oak, TX 75154-2445 | 2020-08-17 |
| 1780295394 | Matthew Tran | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-17 |
| 1629689385 | Dennis Weiting Chen | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-14 |
| 1013536903 | Vu Uy Nguyen | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-04-10 |
| Find all providers in RED OAK | ||||
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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.