GRETCHEN DIERKEN (NPI# 1245632744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245632744 |
Entity Type | Individual |
Full Name | GRETCHEN DIERKEN |
Practice Address |
2510 S Reserve St Missoula MT 59801-7546 |
Practice Telephone | 4067214514 |
Mailing Telephone | 4067214514 |
Enumeration Date | 2014-09-16 |
Last Update Date | 2014-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
MT3302 | MT | Pharmacy Service Providers |
Street Address |
2510 S RESERVE ST |
City | MISSOULA |
State | MT |
Zip Code | 59801-7546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205819638 | Rebecca Katherine Pitt Jackson | Optometrist | 2510 S Reserve St, Missoula, MT 59801-7546 | 2005-11-21 |
1427450980 | Brett Currie | Pharmacist | 2510 S Reserve St, Missoula, MT 59801-7546 | 2014-09-16 |
1043259104 | Thomas R Ferguson | Optometrist | 2510 S Reserve St, Missoula, MT 59801-7546 | 2006-06-05 |
1215981014 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2510 S Reserve St, Missoula, MT 59801-7546 | 2006-05-19 |
1174576748 | Shopko Stores Operating Co. LLC | Technician/Technologist | 2510 S Reserve St, Missoula, MT 59801-7546 | 2006-05-18 |
1679534705 | Gregory Gene Zell | Optometrist | 2510 S Reserve St, Missoula, MT 59801-7546 | 2006-03-29 |
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 | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568988855 | Christi L Thorsell | Pharmacist | 3800 S Russell St, Missoula, MT 59801-8525 | 2017-08-17 |
1023439874 | Jamie Belkowski | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2013-12-20 |
1114229291 | Teresa Diane Stanley | Pharmacist | 500 West Broadway, Missoula, MT 59802 | 2010-11-23 |
1689906885 | Cory Benjamin Adams | Pharmacist | 323 W Alder St, Missoula, MT 59802-4123 | 2010-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396174918 | Christopher Elizagaray | Pharmacist | 8 Primrose Ct, Kalispell, MT 59901-7437 | 2013-11-04 |
1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
1992310031 | Amy Sierer | Pharmacist | 900 Jackson St Ste A, Helena, MT 59601-3428 | 2020-09-15 |
1992315378 | Christy Ann Leland | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-07-31 |
1811511678 | Brandon Reiff | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-07 |
1720609233 | Tawn Williams | Pharmacist | 419 Nucleus Ave, Columbia Falls, MT 59912-4007 | 2020-05-06 |
1245866367 | Kim I Dennehy | Pharmacist | 195 3rd Ave En, Kalispell, MT 59901 | 2020-03-20 |
1659928828 | Cody Maldonado | Pharmacist | 1233 N 30th St, Billings, MT 59101-0127 | 2019-08-22 |
1043870462 | Mary Mikeson | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-06-18 |
1659835593 | Lorraine Corra | Pharmacist | 3687 Veterans Drive, Fort Harrison, MT 59636-0190 | 2019-01-24 |
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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.