SARA L. DEAN (NPI# 1205121779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205121779 |
| Entity Type | Individual |
| Full Name | SARA L. DEAN |
| Credential | RPH |
| Practice Address |
12450 La Grange Rd Louisville KY 40245-1901 |
| Practice Telephone | 5022416770 |
| Practice Fax Number | 5022415909 |
| Mailing Telephone | 5022416770 |
| Mailing Fax Number | 5022415909 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 006821 | KY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0000003763 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF PHARMACY PHARMACIST ID | 006821 | 01 |
| TN | TENNESSE STATE PHARMACY LICENCE NUMBER | 0000003763 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811302334 | Sara Dean | Nurse Practitioner | 508 E Gibson Blvd, Ste 220, Roseville, CA 95678-5796 | 2014-06-23 |
| 1932394541 | Sara M Dean | Nurse Practitioner | 6651 Main St Ste F420, Houston, TX 77030 | 2007-09-07 |
| 1598382277 | Sara Alyse Dean | Counselor | 222 Se 8th Ave Ste 212, Hillsboro, OR 97123-4218 | 2020-06-29 |
| 1003139213 | Sara W Dean | Dietitian, Registered | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2010-03-03 |
| 1780600106 | Sara Kohen Dean | Dentist | 106 N Old Kings Rd, Suite A, Ormond Beach, FL 32174-9505 | 2006-07-15 |
| Street Address |
12450 LA GRANGE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40245-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053345819 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2006-07-10 |
| 1477152478 | Brian Cheek | Pharmacist | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2020-10-21 |
| 1497369961 | Norah Altairi | Pharmacist | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2020-09-02 |
| 1518599638 | Jessica Woodall | Pharmacist | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2020-02-06 |
| 1194191247 | Regina Michelle Betts | Nurse Practitioner | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2015-08-12 |
| 1295126795 | Ashley Brooke Flynn | Nurse Practitioner | 12450 La Grange Rd, Louisville, KY 40245 | 2015-02-05 |
| 1679996631 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2014-01-28 |
| 1114368099 | Todd Walker | Pharmacist | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2013-07-08 |
| 1912224965 | Joanne Hazelwood | Nurse Practitioner | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2010-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
| 1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| Find all providers in zip 40245 | ||||
| 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 |
|---|---|---|---|---|
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1699372821 | Patricia Bentz | Pharmacist | 12803 Dove Lake Dr, Louisville, KY 40299-8341 | 2020-10-01 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1922619840 | Keaton Creed | Pharmacist | 9519 Golders Green Cir Unit 301, Louisville, KY 40229-1382 | 2020-08-13 |
| 1588274195 | Katrina Kuban | Pharmacist | 900 Baxter Ave, Louisville, KY 40204-2047 | 2020-08-07 |
| 1144830829 | Madion Olivia Poteet | Pharmacist | 3814 Breckenridge Ln, Louisville, KY 40218-2881 | 2020-08-06 |
| 1225647159 | Mary Beth Ecken | Pharmacist | 1839 Lauderdale Rd, Louisville, KY 40205-1623 | 2020-07-27 |
| 1851917793 | Leanne Nieters | Pharmacist | 2303 Manchester Rd, Louisville, KY 40205-3045 | 2020-06-16 |
| 1568082295 | Amy Gostomski | Pharmacist | 13410 Eastpoint Centre Dr Ste 101, Louisville, KY 40223-4160 | 2020-04-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40245 |
Please comment or provide details below to improve the information on SARA L. DEAN.
| 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.