DR. HEATHER RAE NINICHUCK (NPI# 1275897753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275897753 |
| Entity Type | Individual |
| Full Name | DR. HEATHER RAE NINICHUCK |
| Credential | PHARM.D. |
| Practice Address |
700 N Providence Rd Columbia MO 65203-4373 |
| Practice Telephone | 5734420194 |
| Practice Fax Number | 5734438253 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2003020543 | MO | Pharmacy Service Providers |
| Street Address |
700 N PROVIDENCE RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417901646 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2006-05-20 |
| 1932725033 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2020-06-24 |
| 1336523745 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2015-07-15 |
| 1336404144 | Michael Graziano Mazzola | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2012-07-08 |
| 1679837165 | Laura Eileen Kingsley | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2012-06-28 |
| 1821352311 | Jameson Tanner Blackford | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2012-06-28 |
| 1962798702 | Catherine M. Rudder | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| 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 |
|---|---|---|---|---|
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1821640046 | Maximilian Pettis | Pharmacist | 8940 Old Annapolis Rd Ste B, Columbia, MD 21045-2129 | 2019-07-09 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1578022513 | Nara Lee | Pharmacist | 525 Wotan Rd, Columbia, SC 29229-3347 | 2019-03-19 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1689149791 | Ashton Preslar | Pharmacist | 612 Whaley St Apt 135, Columbia, SC 29201-6323 | 2018-10-05 |
| 1013490390 | Crystal Cierra Graves | Pharmacist | 1 Windsor Cv Ste 306-2, Columbia, SC 29223-1833 | 2018-09-12 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| Find all providers in COLUMBIA | ||||
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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.