GARY SIMMONS (NPI# 1144761461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144761461 |
| Entity Type | Individual |
| Full Name | GARY SIMMONS |
| Practice Address |
103 Medicine Way Peridot AZ 85542 |
| Mailing Address |
58135 Randolphs Dr Plaquemine LA 70764-7430 |
| Practice Telephone | 9284751300 |
| Mailing Telephone | 9855153102 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13029 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104961515 | Gary Michael Simmons | Pharmacist | 909 W Pine St, Suite 1, Poplar Bluff, MO 63901-4958 | 2007-02-21 |
| 1437608213 | Gary Simmons | Pathology | 619 19th St S, Hsb 175, Birmingham, AL 35249-1900 | 2016-09-22 |
| 1902143704 | Gary Simmons | Pharmacist | 5370 Campbellton Fairburn Rd, Fairburn, GA 30213-2296 | 2013-01-14 |
| 1073880340 | Gary Marc Simmons | Psychologist | 100 North Main Street, Scu, Ward D, Chattahoochee, FL 32304 | 2011-11-30 |
| 1770802373 | Gary L Simmons | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Im: Hematology Oncology, Richmond, VA 23298-5051 | 2010-05-21 |
| 1285820357 | Gary Simmons | Counselor | 1001 Tower Way Ste 110, Bakersfield, CA 93309-1586 | 2007-09-21 |
| 1588670517 | Gary Alfred Simmons | Anesthesiology | 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 | 2006-07-31 |
| 1265438691 | Gary Edward Simmons | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2005-06-21 |
| Street Address |
103 MEDICINE WAY |
| City | PERIDOT |
| State | AZ |
| Zip Code | 85542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952756793 | Fern Dewey | Dental Hygienist | 103 Medicine Way, Peridot, AZ 85542 | 2016-04-29 |
| 1356810907 | Pamela N Tambi | Pharmacist | 103 Medicine Way, Peridot, AZ 85542 | 2018-11-13 |
| 1225525793 | Nicole Leeanne Christianson | Nurse Practitioner | 103 Medicine Way, Peridot, AZ 85542 | 2018-04-19 |
| 1447764394 | Tiffany Dawn Curley-moses | Dental Hygienist | 103 Medicine Way, Peridot, AZ 85542 | 2017-11-29 |
| 1558883504 | David Homer Allison | Pharmacist | 103 Medicine Way, San Carlos Apache Healthcare Corp, Peridot, AZ 85542 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768963 | Layla Rose Wall | Dietitian, Registered | 103 Medicine Road, Peridot, AZ 85542 | 2019-12-26 |
| 1912555830 | Megan M Dillon | Registered Nurse | 102 Medicine Way Rd, Phn Building, Peridot, AZ 85542 | 2019-09-04 |
| 1538638184 | Christopher Blair | Pharmacist | 103 Medicine Way Drive, Peridot, AZ 85542 | 2018-11-13 |
| 1346772548 | Dyanna Ah Quin | Social Worker | 106 Medicine Way, Peridot, AZ 85542 | 2017-03-28 |
| 1548610223 | Acey Nixon | Dentist | 104 Medicine Way, Peridot, AZ 85542 | 2016-06-14 |
| 1649496829 | Dorothea Blanche Stevens | Registered Nurse | 102 Medicine Way, Peridot, AZ 85542 | 2007-04-17 |
| 1508916933 | Paul Brandon Mcmaster | Podiatrist | San Carlos Apache Healthcare, 103 Medicine Way, Peridot, AZ 85542 | 2007-01-10 |
| 1487756656 | Renal Dimensions, LLC | Clinic/Center | Us 70 Highway Srt 170, Peridot, AZ 85542 | 2006-09-01 |
| 1922068808 | Analise Kathryn Lucas | Physician Assistant | 103 Medicine Way Road, Peridot, AZ 85542 | 2006-03-24 |
| 1689141327 | Liliane Abongwa | Pharmacist | 103 Medicine Way Rd, Peridot, AZ 85542 | 2018-10-31 |
| Find all providers in zip 85542 | ||||
| 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 |
|---|---|---|---|---|
| 1538638184 | Christopher Blair | Pharmacist | 103 Medicine Way Drive, Peridot, AZ 85542 | 2018-11-13 |
| 1801179437 | Heather Alyse Markel | Pharmacist | 103 Medicine Way Rd., Peridot, AZ 85542-0787 | 2011-09-20 |
| 1114537727 | Ambrose Mark Fynn | Pharmacist | 103 Medicine Way Rd, Peridot, AZ 85542-5000 | 2020-08-07 |
| 1790395192 | Justin Eugene Cushing | Pharmacist | 103 Medicine Way Rd, Peridot, AZ 85542-5000 | 2020-07-31 |
| 1376164293 | Jason Lau | Pharmacist | 103 Medicine Way Rd, Peridot, AZ 85542-5000 | 2020-05-01 |
| 1417419839 | Tracy Le | Pharmacist | 103 Medicine Way Rd, Peridot, AZ 85542-5000 | 2019-04-03 |
| 1114407913 | Brian Cluff | Pharmacist | 103 Medicine Way Road, Peridot, AZ 85542 | 2018-08-21 |
| 1306336292 | Nathan Marc Lunt | Pharmacist | 103 Medicine Way Rd, Peridot, AZ 85542 | 2018-05-16 |
| 1508353301 | Julius Asofar Anumbosi | Pharmacist | 103 Medicine Way Rd, Peridot, AZ 85542 | 2018-04-17 |
| 1558883504 | David Homer Allison | Pharmacist | 103 Medicine Way, San Carlos Apache Healthcare Corp, Peridot, AZ 85542 | 2017-07-12 |
| Find all providers in PERIDOT | ||||
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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.