KENDRA GINGERICH PURDUM (NPI# 1184939530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184939530 |
| Entity Type | Individual |
| Full Name | KENDRA GINGERICH PURDUM |
| Other Name | KENDRA FAYE GINGERICH |
| Credential | PHARMD |
| Practice Address |
500 W Broadway St Providence St. Patrick Hospital Missoula MT 59801 |
| Mailing Address |
500 West Broadway Inpatient Pharmacy Missoula MT 59801 |
| Practice Telephone | 5063290321 |
| Mailing Telephone | 4063290321 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2014-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 6273 | MT | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PHA-PHA-LIC-6273 | MT | Pharmacy Service Providers |
| Street Address |
500 W BROADWAY ST PROVIDENCE ST. PATRICK HOSPITAL |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679762603 | Mary B Mchugh | Pharmacist | 530 Canyon Gate Dr, Missoula, MT 59803-1602 | 2007-10-16 |
| 1720172703 | Kendra Ann Keeley | Pharmacist | 323 West Alder, Missoula, MT 59802 | 2006-10-03 |
| 1558323626 | Amanda Kay Patel | Pharmacist | 1003 E Broadway St, Eastgate Drug, Missoula, MT 59802-4971 | 2006-04-04 |
| 1902867518 | Larry A Dent | Pharmacist | University of Montana School of Pharmacy, 32 Campus Dr., #1522, Missoula, MT 59812-0001 | 2006-03-31 |
| 1134506967 | Amanda Moffett-frey | Pharmacist | 401 Railroad St W, Clinical Pharmacy, Missoula, MT 59802-4109 | 2015-04-30 |
| 1275683898 | Donna G Beall | Pharmacist | 32 Campus Dr, Skaggs School of Pharmacy, Missoula, MT 59812-0003 | 2007-01-12 |
| 1851386502 | Lee Ann Bradley | Pharmacist | 500 W Broadway St, Montana Spine Center, Missoula, MT 59802-4003 | 2005-09-19 |
| 1902808819 | Vincent J Colucci | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4003 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275721128 | Dean T. Goroski | Pharmacist | 10110 S 7650th E, Crow/northern Cheyenne Hospital, Crow Agency, MT 59022 | 2007-10-04 |
| 1548501869 | Donald Brown | Pharmacist | 801 N 29th St, Billings, MT 59101-0905 | 2013-03-12 |
| 1407167141 | Steven K Rietz | Pharmacist | 1 Hospital Road, Usphs Indian Hospital Pharmacy, Crow Agency, MT 59022-0009 | 2010-06-28 |
| 1528397783 | Jessica Bowermaster | Pharmacist | 1 Hospital Rd, Crow Agency, MT 59022 | 2009-12-17 |
| 1659403871 | Zachary R Pool | Pharmacist | 1 Hospital Road, Crow Agency, MT 59022 | 2007-03-12 |
| 1346396843 | Randy Lee Kuiper | Pharmacist | 1101 26th St S, Great Falls, MT 59405-5161 | 2007-01-26 |
| 1619041548 | John K.h. Griffith | Pharmacist | 300 N Willson Ave, 1002, Bozeman, MT 59715-3551 | 2006-11-20 |
| 1326020066 | Paul Edward Brand | Pharmacist | 5549 Old Hwy 93, Florence, MT 59833-6564 | 2005-11-17 |
| 1467454207 | Kyle H Townsend | Pharmacist | 2800 10th Ave N, Billings, MT 59101-0703 | 2005-08-11 |
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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.