STACIE LYNN HALL (NPI# 1205271749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205271749 |
| Entity Type | Individual |
| Full Name | STACIE LYNN HALL |
| Credential | R.PH. |
| Practice Address |
711 Green Rd Madison IN 47250-2143 |
| Practice Telephone | 8122657460 |
| Practice Fax Number | 8122657463 |
| Mailing Telephone | 8122657460 |
| Mailing Fax Number | 8122657463 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26019949A | IN | Pharmacy Service Providers |
| Street Address |
711 GREEN RD |
| City | MADISON |
| State | IN |
| Zip Code | 47250-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699765198 | Michael D Foster | Psychiatry & Neurology | 711 Green Rd, Madison, IN 47250-2143 | 2005-10-26 |
| 1740835164 | Kimberly Kay Beverly | Nurse Practitioner | 711 Green Rd, Madison, IN 47250-2143 | 2019-08-02 |
| 1023454295 | Nancy H Burkhardt | Dentist | 711 Green Rd, Madison, IN 47250-2143 | 2013-05-15 |
| 1659497477 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1649396466 | State of Indiana, Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1932225752 | State of Indiana, Auditor of State | Intermediate Care Facility, Mentally Retarded | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1477596757 | State of Indiana Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2006-06-14 |
| 1164478939 | Gwendolyn Heaton | Psychiatry & Neurology | 711 Green Rd, Madison, IN 47250-2143 | 2006-05-25 |
| 1700876224 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2005-10-26 |
| 1437149945 | Howard C Jackson Jr. | Family Medicine | 711 Green Rd, Madison, IN 47250-2199 | 2005-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| 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 |
|---|---|---|---|---|
| 1346840956 | Candi Ashton | Pharmacist | 6011 N Rector Rd, Madison, IN 47250-7624 | 2020-11-01 |
| 1154931038 | Alyson Giragosian | Pharmacist | 4818 Kingsford Way, Madison, WI 53704-6498 | 2020-08-05 |
| 1801415641 | Genesee Fernandez | Pharmacist | 170 Sagebrook Dr, Madison, AL 35757-7684 | 2020-04-12 |
| 1417583568 | Kimberly Maerz | Pharmacist | 6701 Mineral Point Rd, Madison, WI 53705-4241 | 2020-03-20 |
| 1942845896 | Nikita Jain | Pharmacist | 857 Durham Rd, Madison, CT 06443-1827 | 2019-11-14 |
| 1437704939 | Morgan A Wynes | Pharmacist | 600 Highland Ave # F6160, Madison, WI 53792-0001 | 2019-08-02 |
| 1467005322 | Elisa Rowland | Pharmacist | 12070 County Line Rd Ste C, Madison, AL 35756-2000 | 2019-07-19 |
| 1669034849 | Jessica Chmielinski | Pharmacist | 2500 Overlook Ter Dept 119, Madison, WI 53705-2254 | 2019-07-08 |
| 1265903702 | Steven Michael Dixon | Pharmacist | 41 Chestnut Hill Rd, Madison, CT 06443-1816 | 2018-12-10 |
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| Find all providers in MADISON | ||||
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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.