MARK DEARTH (NPI# 1205189487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205189487 |
| Entity Type | Individual |
| Full Name | MARK DEARTH |
| Practice Address |
535 W Main St Henderson TN 38340-2536 |
| Mailing Address |
93 Stonebrook Pl T-0921 Jackson TN 38305-3637 |
| Practice Telephone | 7319890077 |
| Practice Fax Number | 7319890076 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23938 | TN | Pharmacy Service Providers |
| Street Address |
535 W MAIN ST |
| City | HENDERSON |
| State | TN |
| Zip Code | 38340-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477863959 | Cynthia Vincent Moss | Pharmacist | 535 W Main St, Henderson, TN 38340-2536 | 2010-10-18 |
| 1306489554 | Integration Partners LLC | Durable Medical Equipment & Medical Supplies | 535 W Main St, Henderson, TN 38340-2536 | 2019-10-21 |
| 1225511975 | Diana Booth White | Pharmacist | 535 W Main St, Henderson, TN 38340-2536 | 2018-09-10 |
| 1487095667 | Fred's Pharmacy | Pharmacy | 535 W Main St, Henderson, TN 38340-2536 | 2013-07-16 |
| 1528364742 | Janice C Morris | Pharmacist | 535 W Main St, Henderson, TN 38340-2536 | 2011-02-04 |
| 1184656027 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 535 W Main St, Henderson, TN 38340-2536 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
| 1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
| 1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
| Find all providers in zip 38340 | ||||
| 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 |
|---|---|---|---|---|
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1770048860 | Akvile Garcia | Pharmacist | 101 E Lake Mead Pkwy Ste 100, Henderson, NV 89015-5532 | 2019-02-04 |
| 1841799228 | Bijal Rakesh Patel | Pharmacist | 303 Queensbridge Way, Henderson, NV 89074-5048 | 2018-02-12 |
| 1871029967 | Clare-lanie Macaraeg | Pharmacist | 824 Sleepy Moon Ave, Henderson, NV 89012-2625 | 2017-05-10 |
| 1124553276 | Roland Werner | Pharmacist | 15 Cactus Garden Dr, Henderson, NV 89014-2339 | 2017-04-26 |
| 1841732013 | Anna Jane Ramirez Bautista | Pharmacist | 1679 Sonoran Bluff Ave, Henderson, NV 89014-2678 | 2016-11-04 |
| 1831541143 | Omid Yadegar | Pharmacist | 2970 Saint Rose Pkwy, Ste 120, Henderson, NV 89052-4449 | 2016-07-11 |
| 1679925994 | Tamara Angeles | Pharmacist | 2970 Saint Rose Pkwy Ste 120, Henderson, NV 89052-4450 | 2016-07-11 |
| 1710349782 | Sally-anne Waihenya | Pharmacist | 2719 Mallard Landing Ave, Henderson, NV 89074-1910 | 2016-03-28 |
| 1205297199 | Michael C Berger | Pharmacist | 7800 Wathen Ln, Henderson, KY 42420-9154 | 2016-03-18 |
| Find all providers in HENDERSON | ||||
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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.