PAUL EUGENE GAMBLIN (NPI# 1336654342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336654342 |
| Entity Type | Individual |
| Full Name | PAUL EUGENE GAMBLIN |
| Practice Address |
1005 Live Oak Ct Kokomo IN 46901-0706 |
| Practice Telephone | 7654576262 |
| Mailing Telephone | 7654576262 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26013768A | IN | Pharmacy Service Providers |
| Street Address |
1005 LIVE OAK CT |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-0706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| 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 |
|---|---|---|---|---|
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1447628441 | Danielle Rascoe | Pharmacist | 2325 Acorn Dr, Kokomo, IN 46902-7520 | 2015-09-08 |
| 1023405248 | Marsha Dodge | Pharmacist | 3010 Lamplighter Ln, Kokomo, IN 46902-8124 | 2015-04-26 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| 1154683670 | Jennifer Joan Frey | Pharmacist | 705 N Dixon Rd, Kokomo, IN 46901-1755 | 2012-06-11 |
| 1568744464 | Lyndsey Marie Dyer | Pharmacist | 107 S Washington St, Kokomo, IN 46901-4601 | 2011-09-15 |
| 1629192711 | Suzi M Zeiss | Pharmacist | 2301 E Markland Ave, Kokomo, IN 46901-6245 | 2007-03-16 |
| 1740353952 | Karl B. Clearwaters | Pharmacist | 2317 W Jefferson St, Kokomo, IN 46901-4119 | 2006-11-16 |
| 1427040096 | Gregory A Miller | Pharmacist | 3109 W Sycamore St, Kokomo, IN 46901-4026 | 2005-08-18 |
| 1548861941 | Jennider Longenecker | Pharmacist | 1920 E Markland Ave, Kokomo, IN 46901-6236 | 2020-11-03 |
| Find all providers in KOKOMO | ||||
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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.