DOUGLAS FAULKNER (NPI# 1205436946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205436946 |
| Entity Type | Individual |
| Full Name | DOUGLAS FAULKNER |
| Credential | RPH |
| Practice Address |
810 S 37th St Bethany MO 64424 |
| Practice Telephone | 6604254430 |
| Practice Fax Number | 6604253539 |
| Mailing Telephone | 6604254430 |
| Mailing Fax Number | 6604253539 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 041089 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255382693 | Douglas Howard Faulkner | Audiologist-Hearing Aid Fitter | 17510 Tally Ho Ct, Odessa, FL 33556-1815 | 2006-05-12 |
| 1841515400 | Douglas Neal Faulkner | Family Medicine | 7600 Shaffer Pkwy, Littleton, CO 80127-3004 | 2010-04-06 |
| Street Address |
810 S 37TH ST |
| City | BETHANY |
| State | MO |
| Zip Code | 64424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508883851 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 810 S 37th St, Bethany, MO 64424-2770 | 2006-07-16 |
| 1477154524 | Stephen Kyle Butts | Pharmacist | 810 S 37th St, Bethany, MO 64424-2770 | 2020-11-05 |
| 1770191561 | George Matthew Craig | Pharmacist | 810 S 37th St, Bethany, MO 64424-2770 | 2020-07-17 |
| 1932746781 | Ayongwi A Tazuh | Pharmacist | 810 S 37th St, Bethany, MO 64424-2770 | 2019-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376739946 | Cynthia Sue Butler | Social Worker | 4118 Miller St, Bethany, MO 64424 | 2007-09-18 |
| 1891906848 | Sudarsan Chavala | Ophthalmology | 1303 N 25th, Bethany, MO 64424 | 2007-05-24 |
| 1972521300 | Gary Ernest Anderson | Chiropractor | 3307 Miller, Bethany, MO 64424 | 2006-07-17 |
| 1558397661 | N & R of Crestview LLC | Skilled Nursing Facility | 1313 South 25th Street, Bethany, MO 64424 | 2006-06-23 |
| 1639147507 | Jayne E. Doolittle | Nurse Practitioner | 2703 Miller St., Bethany, MO 64424 | 2006-03-08 |
| 1184088593 | Patricia Slaughter | Social Worker | 2600 Miller St, Bethany, MO 64424 | 2016-04-12 |
| 1912235706 | Bethany Counseling Center LLC | Social Worker | 4118 Miller St, Bethany, MO 64424 | 2009-12-07 |
| 1568430437 | Gregory A Dean | Family Medicine | 2703 Miller St, Bethany, MO 64424 | 2006-03-08 |
| 1508834409 | Terry E. Hall | General Practice | 2703 Miller St., Bethany, MO 64424-0233 | 2006-03-08 |
| 1730251646 | Harrison County Health Department & Harrison County Home Health | Home Health | 1700 Bethany Avenue, Bethany, MO 64424-0425 | 2006-11-15 |
| Find all providers in zip 64424 | ||||
| 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 |
|---|---|---|---|---|
| 1891987178 | Jason Steven Schaal | Pharmacist | 13267 Mcdonald Rd, Bethany, IL 61914-9003 | 2007-08-10 |
| 1912087297 | Dennis H Wagner | Pharmacist | 2703 N Rockwell Ave, Bethany, OK 73008-5246 | 2006-10-17 |
| 1477154524 | Stephen Kyle Butts | Pharmacist | 810 S 37th St, Bethany, MO 64424-2770 | 2020-11-05 |
| 1770191561 | George Matthew Craig | Pharmacist | 810 S 37th St, Bethany, MO 64424-2770 | 2020-07-17 |
| 1932746781 | Ayongwi A Tazuh | Pharmacist | 810 S 37th St, Bethany, MO 64424-2770 | 2019-11-27 |
| 1811532740 | Brian Taylor Lindsey | Pharmacist | 7101 Nw 23rd St, Bethany, OK 73008-5129 | 2019-11-14 |
| 1558929497 | Nissy Cherian | Pharmacist | 2316 N Rockwell Ave, Bethany, OK 73008-5852 | 2019-06-05 |
| 1588157150 | Kristine Yen Le | Pharmacist | 2316 N Rockwell Ave, Bethany, OK 73008-5852 | 2018-06-08 |
| 1528424272 | Vinny Tran | Pharmacist | 2316 N Rockwell Ave, Bethany, OK 73008-5852 | 2016-01-11 |
| 1184908469 | Jason Scott Girard | Pharmacist | 2316 N Rockwell Ave, Bethany, OK 73008-5852 | 2011-10-04 |
| Find all providers in BETHANY | ||||
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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.