MRS. SUZANNE RUTH BALLENGEE (NPI# 1184277311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184277311 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE RUTH BALLENGEE |
| Credential | R.PH. |
| Practice Address |
4040 N Newton St Jasper IN 47546-2575 |
| Mailing Address |
201 N Birdie Ln Montgomery IN 47558-5756 |
| Practice Telephone | 8126341777 |
| Practice Fax Number | 8126349810 |
| Mailing Telephone | 8122595900 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26019513A | IN | Pharmacy Service Providers |
| Street Address |
4040 N NEWTON ST |
| City | JASPER |
| State | IN |
| Zip Code | 47546-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679590897 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4040 N Newton St, Jasper, IN 47546-2575 | 2006-07-16 |
| 1588265300 | Angela Marie Douglas | Pharmacist | 4040 N Newton St, Jasper, IN 47546-2575 | 2020-11-06 |
| 1740880368 | Angela Susanne Engelberth | Pharmacist | 4040 N Newton St, Jasper, IN 47546-2575 | 2020-11-01 |
| 1316595440 | Johnathon R Heyder | Pharmacist | 4040 N Newton St, Jasper, IN 47546-2575 | 2019-09-02 |
| 1154403301 | Wal-mart Stores East, Lp | Technician/Technologist | 4040 N Newton St, Jasper, IN 47546-2575 | 2006-10-19 |
| 1275636508 | James Wesley Wagler | Optometrist | 4040 N Newton St, Wal-mart Vision Center, Jasper, IN 47546-2575 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| 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 |
|---|---|---|---|---|
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1437602026 | Elizabeth Richardson | Pharmacist | 5558 Curry Hwy Ste 9, Jasper, AL 35503-5866 | 2016-07-29 |
| 1972927192 | Sadie Endicott | Pharmacist | 13844 County Road 210, Jasper, MO 64755-8295 | 2014-02-07 |
| 1275969974 | Carmen Maury Roberts | Pharmacist | 300 Highway 78 E, Jasper, AL 35501-3831 | 2013-09-25 |
| 1548549975 | Clifford Andrew Handley IIi | Pharmacist | 2405 Highway 78 E, Jasper, AL 35501-3435 | 2011-08-16 |
| 1871891721 | Steven Carlton Moon | Pharmacist | 70 E Church St, Jasper, GA 30143-1607 | 2011-03-02 |
| 1275830291 | Margaret W Frazeur | Pharmacist | 70 E. Church St., Jasper, GA 30143 | 2011-02-28 |
| 1639496615 | Joe Charles Murray | Pharmacist | 200 Forest Ln, Jasper, AL 35501-3332 | 2010-04-29 |
| 1538484068 | James Lewis Smith | Pharmacist | 1105 5th St W, Jasper, AL 35501-3606 | 2010-03-27 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in JASPER | ||||
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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.