DR. STACEY DANIELLE RIDER (NPI# 1184062010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184062010 |
| Entity Type | Individual |
| Full Name | DR. STACEY DANIELLE RIDER |
| Other Name | DR. STACEY DANIELLE GASH |
| Credential | PHARMD, LDE |
| Practice Address |
464 Linden Ave Harrodsburg KY 40330-1882 |
| Practice Telephone | 8597334827 |
| Practice Fax Number | 8597334825 |
| Mailing Telephone | 8597334827 |
| Mailing Fax Number | 8597334825 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2016-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 016437 | KY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSED DIABETES EDUCATOR | 126551 | 01 |
| Street Address |
464 LINDEN AVE |
| City | HARRODSBURG |
| State | KY |
| Zip Code | 40330-1882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902862824 | The James B. Haggin Memorial Hospital Inc | General Acute Care Hospital | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2006-04-21 |
| 1881195170 | Sabrina Wellman | Nurse Practitioner | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2018-02-22 |
| 1326494923 | Island Medical Harrodsburg LLC | Nurse Practitioner | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2016-05-12 |
| 1518392976 | The James B. Haggin Memorial Hospital Inc | Nurse Practitioner | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2013-09-04 |
| 1376881516 | Susan R Lankford | Physical Therapist | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2013-01-23 |
| 1568737468 | The James B. Haggin Memorial Hospital Inc | Orthopaedic Surgery | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2012-03-12 |
| 1790080802 | Comprehensive Behavior Inc Psc | Psychiatry & Neurology | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2011-01-20 |
| 1619282282 | Robin Renee Yanguas | Nurse Practitioner | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2010-08-08 |
| 1346553237 | Lhcg Xx LLC | Home Health | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2010-07-20 |
| 1245499623 | Commonwealth Urology Psc | Urology | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645559 | Isaiah House Inc | Substance Abuse Rehabilitation Facility | 5866 Bohon Rd, Harrodsburg, KY 40330 | 2018-10-18 |
| 1760964514 | Ephraim Mcdowell Regional Medical Center, Incorporated | Durable Medical Equipment & Medical Supplies | 470 Linden Ave Ste 1, Harrodsburg, KY 40330 | 2018-08-29 |
| 1801225206 | Mercer County Health Department | Public Health or Welfare | 900 North College Street, Harrodsburg, KY 40330 | 2013-11-06 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1972815942 | Melanie Suzanne Hutti | Occupational Therapist | 853 W. Lexington Ave., Harrodsburg, KY 40330 | 2010-07-07 |
| 1821276338 | Blue Grass Community Action Partnership, Inc | Respite Care | Mercer County Adult Day Care, 1475 Louisville Road, Harrodsburg, KY 40330 | 2008-02-06 |
| 1457535973 | Active Body Chiropractic and Injury Center Pllc | Chiropractor | 507 Joseph Dr., Ste. 4, Harrodsburg, KY 40330 | 2007-12-19 |
| 1598947178 | Peggy E Kessler | Counselor | 712 Perryville Road, Harrodsburg, KY 40330 | 2007-12-05 |
| 1891994455 | Dr. Tammy G. Hoskins Optometry Psc | Optometrist | Harrodsburg Eye Center, 201 S Main St, Harrodsburg, KY 40330 | 2007-07-13 |
| 1508064171 | Angela Craig Logdon | Speech-Language Pathologist | 2200 Bohon Rd, Harrodsburg, KY 40330 | 2007-07-05 |
| Find all providers in zip 40330 | ||||
| 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 |
|---|---|---|---|---|
| 1871873687 | Patricia R Freeman | Pharmacist | 554 Sparrow Ln, Harrodsburg, KY 40330-9626 | 2011-08-24 |
| 1407991375 | Jack B Gross | Pharmacist | 106 Cherry Dr, Harrodsburg, KY 40330 | 2007-02-20 |
| 1992754071 | Pamela A Stith | Pharmacist | 900 S College St, Harrodsburg, KY 40330-2167 | 2006-05-08 |
| 1770183923 | Sarah Jane Maddox | Pharmacist | 591 Joseph Dr, Harrodsburg, KY 40330-2194 | 2020-10-27 |
| 1487254942 | Kashiwa Hereford | Pharmacist | 844 S College St, Harrodsburg, KY 40330-2140 | 2020-10-26 |
| 1609139344 | Shelia Ann Carrico | Pharmacist | 844 S College St, Harrodsburg, KY 40330-2140 | 2012-06-18 |
| 1417210360 | Jennifer Willmott Keller | Pharmacist | 844 S College St, Harrodsburg, KY 40330-2140 | 2012-06-15 |
| 1891056685 | Paul Adrian Thompson | Pharmacist | 844 S College St, Harrodsburg, KY 40330-2140 | 2012-06-07 |
| 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 | HARRODSBURG |
| Zip Code | 40330 |
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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.