DAVID ELIAS MICK (NPI# 1326331018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326331018 |
| Entity Type | Individual |
| Full Name | DAVID ELIAS MICK |
| Credential | RP |
| Practice Address |
218 Market St Spencer WV 25276 |
| Mailing Address |
218 Market St Spencer WV 25276-0685 |
| Practice Telephone | 3049270011 |
| Practice Fax Number | 3048912027 |
| Mailing Telephone | 3049270011 |
| Mailing Fax Number | 3048912027 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2016-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0005878 | WV | Pharmacy Service Providers |
| Street Address |
218 MARKET ST |
| City | SPENCER |
| State | WV |
| Zip Code | 25276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790790632 | Fruth Pharmacy Inc | Pharmacy | 218 Market St, Spencer, WV 25276-1316 | 2006-07-29 |
| 1265980361 | Kasondra Bandy | Pharmacist | 218 Market St, Spencer, WV 25276-1316 | 2016-09-17 |
| 1942657465 | April Deel | Pharmacy Technician | 218 Market St, Spencer, WV 25276-1316 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019453 | Patricia Ann May | Technician | 3353 Lick Fork Road, Spencer, WV 25276 | 2017-12-20 |
| 1053518399 | Kelly Jean Fry | Naturopath | 142 East Main St., Spencer, WV 25276 | 2007-06-29 |
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1912068180 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 101 Locust Ave., Spencer, WV 25276 | 2006-12-12 |
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1669822011 | Julie M Morgan | Physician Assistant | 146 Williams Dr, Spencer, WV 25276 | 2016-06-16 |
| 1831228733 | Christopher Kyle Mealey | Pharmacist | 200 Hospital Drive, Spencer, WV 25276 | 2007-03-05 |
| 1093860256 | Roane County Emergency Squad, Inc. | Ambulance | 200 East Main Street, Spencer, WV 25276 | 2007-01-25 |
| 1679661474 | Staats Pharmacy and Health Care Inc | Durable Medical Equipment & Medical Supplies | 100 E Main St, Spencer, WV 25276 | 2006-10-10 |
| Find all providers in zip 25276 | ||||
| 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 |
|---|---|---|---|---|
| 1013518646 | Philip Anthony Card | Pharmacist | 823 W State Highway 46 Ste 1p1, Spencer, IN 47460-6748 | 2020-11-02 |
| 1437485588 | Sarah M Braley | Pharmacist | 3 Nottingham Cir, Spencer, MA 01562-2944 | 2009-10-26 |
| 1952551285 | Kenly Waine Corkrean | Pharmacist | 41 Williams Dr, Spencer, WV 25276-1825 | 2008-09-23 |
| 1386843613 | Troy Thompson | Pharmacist | 1530 W 14th St, Spencer, IA 51301-2864 | 2007-07-17 |
| 1962590265 | Chad L Moser | Pharmacist | 1314 17th Ave W, Spencer, IA 51301-2739 | 2006-10-11 |
| 1295335776 | Edwin Garrick Cooper | Pharmacist | 823 W State Highway 46, Spencer, IN 47460-6748 | 2020-10-26 |
| 1598382939 | Bradley C Olsen | Pharmacist | 800 Grand Ave, Spencer, IA 51301 | 2020-07-01 |
| 1609402858 | Janelle Lynn Ginger | Pharmacist | 819 Grand Ave, Spencer, IA 51301-3640 | 2020-03-19 |
| 1902431356 | Molly Conlon | Pharmacist | 819 Grand Ave, Spencer, IA 51301-3640 | 2020-03-05 |
| 1184269391 | Lynndah Rennae Long | Pharmacist | 715 S Grand Ave, Spencer, IA 51301-5731 | 2019-11-12 |
| Find all providers in SPENCER | ||||
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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.