DR. TABARIUS SMITH (NPI# 1255608923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255608923 |
| Entity Type | Individual |
| Full Name | DR. TABARIUS SMITH |
| Credential | PHARMD |
| Practice Address |
1921 S Main St West Bend WI 53095-5206 |
| Practice Telephone | 2623381156 |
| Practice Fax Number | 2623382497 |
| Mailing Telephone | 2623381156 |
| Mailing Fax Number | 2623382497 |
| Enumeration Date | 2011-11-24 |
| Last Update Date | 2011-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14027-040 | WI | Pharmacy Service Providers |
| Street Address |
1921 S MAIN ST |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093720989 | Walgreen Co | Pharmacy | 1921 S Main St, West Bend, WI 53095-5206 | 2006-07-29 |
| 1982238481 | Adrienne Lo | Pharmacist | 1921 S Main St, West Bend, WI 53095-5206 | 2020-02-24 |
| 1396169553 | Robert Moresco | Pharmacist | 1921 S Main St, West Bend, WI 53095-5206 | 2014-02-08 |
| 1396012050 | Mariam Mozaffar | Pharmacist | 1921 S Main St, West Bend, WI 53095-5206 | 2011-11-23 |
| 1548537343 | Paul Szemraj | Pharmacist | 1921 S Main St, West Bend, WI 53095-5206 | 2011-11-22 |
| 1124395041 | Anne Vechinski | Pharmacist | 1921 S Main St, West Bend, WI 53095-5206 | 2011-11-21 |
| 1285901181 | Jordan Michael Bruns | Pharmacist | 1921 S Main St, West Bend, WI 53095-5206 | 2011-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| 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 |
|---|---|---|---|---|
| 1326391319 | Michael Hatch | Pharmacist | 3977 Oak Ave, West Bend, WI 53095-9241 | 2012-10-16 |
| 1609911940 | William John Elliott | Pharmacist | 907 Foxland Pl, West Bend, WI 53095-5532 | 2007-02-21 |
| 1881294510 | Melodie Ann Helmer | Pharmacist | 1515 W Paradise Dr, West Bend, WI 53095-9794 | 2020-10-30 |
| 1568060051 | Dana Eness | Pharmacist | 1515 W Paradise Dr, West Bend, WI 53095-9794 | 2020-10-15 |
| 1649878448 | Bhumika M Patel | Pharmacist | 1515 W Paradise Dr, West Bend, WI 53095-9794 | 2020-10-14 |
| 1780206896 | Christopher Gardipee | Pharmacist | 1629 S Main St, West Bend, WI 53095-4935 | 2020-05-12 |
| 1811523772 | Lindsey Wiza | Pharmacist | 2180 S Main St, West Bend, WI 53095-5754 | 2020-03-22 |
| 1083248512 | Morgan Byron | Pharmacist | 1720 W Washington St, West Bend, WI 53095-2311 | 2020-02-24 |
| 1982238481 | Adrienne Lo | Pharmacist | 1921 S Main St, West Bend, WI 53095-5206 | 2020-02-24 |
| 1972137495 | Jamie Jaclyn Restock | Pharmacist | 1720 W Washington St, West Bend, WI 53095-2311 | 2020-02-24 |
| Find all providers in WEST BEND | ||||
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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.