MR. KIM L. SPRAGUE (NPI# 1184800617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184800617 |
| Entity Type | Individual |
| Full Name | MR. KIM L. SPRAGUE |
| Credential | RPH |
| Practice Address |
173 Market St Potsdam NY 13676-1221 |
| Practice Telephone | 3152656192 |
| Practice Fax Number | 3152656196 |
| Mailing Telephone | 3152656192 |
| Mailing Fax Number | 3152656196 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 032008 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773092 | Kim Marie Sprague | Social Worker | 100 Adams Ln, Oak Ridge, TN 37830-4909 | 2020-03-02 |
| Street Address |
173 MARKET ST |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841222791 | Amanda L Reynolds | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2006-07-07 |
| 1770195448 | Max Tyler Buscaglia | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2020-08-23 |
| 1164063228 | Matthew Killips | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2019-09-30 |
| 1992072318 | Nicholas S Mills | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2011-11-30 |
| 1104149632 | Michael William Pratt | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2010-03-11 |
| 1750437802 | Laura Goshko | Pharmacist | 173 Market St, Potsdam, NY 13676 | 2007-01-25 |
| 1588734552 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 173 Market St, Potsdam, NY 13676-1221 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| 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 |
|---|---|---|---|---|
| 1841222791 | Amanda L Reynolds | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2006-07-07 |
| 1427002021 | Benjamin Gruda | Pharmacist | 80 Root Rd, Potsdam, NY 13676-3444 | 2006-05-19 |
| 1770195448 | Max Tyler Buscaglia | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2020-08-23 |
| 1033748355 | Kelsey Miller | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2020-04-07 |
| 1164063228 | Matthew Killips | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2019-09-30 |
| 1134776289 | Matthew Michael Crough | Pharmacist | 48 Maple St, Potsdam, NY 13676-1124 | 2019-08-23 |
| 1003331240 | Kyle Flint | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-08-09 |
| 1437670890 | Regina C Scott | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-07-06 |
| 1629599097 | Nicholas Larche | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-07-06 |
| 1740672468 | Cody Otero | Pharmacist | 7494 Us Highway 11, Potsdam, NY 13676-3577 | 2015-03-04 |
| Find all providers in POTSDAM | ||||
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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.