PHILIP SLOBODA (NPI# 1245640952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245640952 |
| Entity Type | Individual |
| Full Name | PHILIP SLOBODA |
| Practice Address |
6050 Us Highway 6 Portage IN 46368-5047 |
| Practice Telephone | 2197630310 |
| Mailing Telephone | 2197630310 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26023822A | IN | Pharmacy Service Providers |
| Street Address |
6050 US HIGHWAY 6 |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013239847 | Cynthia Jane Walters | Pharmacist | 6050 Us Highway 6, Portage, IN 46368-5047 | 2010-02-21 |
| 1679098198 | Jessica Mcelfresh | Pharmacist | 6050 Us Highway 6, Portage, IN 46368-5047 | 2017-08-04 |
| 1992114193 | Loren Reid | Pharmacist | 6050 Us Highway 6, Portage, IN 46368-5047 | 2014-08-13 |
| 1457796542 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 6050 Us Highway 6, Portage, IN 46368-5047 | 2013-05-03 |
| 1831533801 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6050 Us Highway 6, Portage, IN 46368-5047 | 2013-04-22 |
| 1578594636 | K Mart Corp | Pharmacy | 6050 Us Highway 6, Portage, IN 46368-5047 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1497724751 | Teresa Bailey Klepser | Pharmacist | 7901 Angling Rd, Portage, MI 49024-0714 | 2006-03-17 |
| 1558766220 | Sean Mcglothlin | Pharmacist | 8850 Shaver Rd, Portage, MI 49024-6155 | 2014-10-23 |
| 1225449408 | Ute Gimmler | Pharmacist | 8850 Shaver Rd, Portage, MI 49024-6155 | 2014-05-09 |
| 1902217250 | Matthew Lam | Pharmacist | 8850 Shaver Rd, Portage, MI 49024-6155 | 2014-05-08 |
| 1487064705 | David Hanson | Pharmacist | 8850 Shaver Rd, Portage, MI 49024-6155 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265989933 | Lauren Mcnace | Pharmacist | 10062 Heather Brooke Dr, Osceola, IN 46561-7803 | 2016-09-09 |
| 1568833960 | Dawn D Christmas | Pharmacist | 5600 New Margaret Ave, Terre Haute, IN 47803 | 2015-10-12 |
| 1902277437 | Erin Haggart | Pharmacist | 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 | 2015-10-09 |
| 1922415066 | Meredith L Howard | Pharmacist | 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 | 2014-07-21 |
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1174934558 | Kristen Brock | Pharmacist | 400 N Dan Jones Rd, Plainfield, IN 46168-1802 | 2014-05-19 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1124438023 | Mark Schutts | Pharmacist | 3610 Bremen Hwy, Mishawaka, IN 46544-6500 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
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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.