MRS. DUSTI RENAE HENRICHS (NPI# 1386077907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386077907 |
Entity Type | Individual |
Full Name | MRS. DUSTI RENAE HENRICHS |
Other Name | MS. DUSTI RENAE NICHOLS |
Credential | PHARM D |
Practice Address |
36000 Darnall Loop Fort Hood TX 76544-5095 |
Mailing Address |
5706 Shawn Dr Killeen TX 76542-4438 |
Practice Telephone | 2542888828 |
Mailing Telephone | 3083797820 |
Enumeration Date | 2013-08-19 |
Last Update Date | 2013-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 13945 | NE | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 2012027067 | MO | Pharmacy Service Providers |
Street Address |
36000 DARNALL LOOP |
City | FORT HOOD |
State | TX |
Zip Code | 76544-5095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447253828 | Erin Michelle Hall | Physician Assistant | 36000 Darnall Loop, Carl R Darnall Amc, Fort Hood, TX 76544 | 2005-05-31 |
1194337154 | Chisa C Martin | Nurse Practitioner | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-20 |
1114537487 | Richard William Andreasen Jr. | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-03 |
1093341919 | Jennifer Marie Pena | Physician Assistant | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-03-23 |
1497301691 | Jason Michael Fackender | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2019-08-13 |
1801373774 | Joshua Schaepe | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-24 |
1477039840 | Carl R Darnall Army Medical Center | Clinic/Center | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-18 |
1881182848 | Somer Jean Welch | Social Worker | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-04-25 |
1760919609 | Qwanquita Teressa Wright | Social Worker | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2017-05-22 |
1609228485 | Kristina E Thompson | General Practice | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2016-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
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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 |
---|---|---|---|---|
1528335874 | Kyle Iannotti | Pharmacist | 36000 Carl R Darnall Army Medical Center, Fort Hood, TX 76544-5005 | 2011-11-30 |
1588983290 | Florence Ann Green | Pharmacist | 36000 Darnell, Fort Hood, TX 76544-5095 | 2010-05-19 |
1841427630 | Linda Ellen Therrio | Pharmacist | Bldg 36000, Darnall Army Medical Center Department of Pharmacy, Fort Hood, TX 76544-5063 | 2009-06-18 |
1871112474 | Lilian Opara | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-04-13 |
1538788120 | Svetlana Rouzanova | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-04-13 |
1760017073 | Andrew David Kamalei Walker | Pharmacist | 36065 Sante Fe Ave, Fort Hood, TX 76544-5040 | 2020-03-06 |
1821622598 | Frank Kwaku Addai | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-03-02 |
1518591643 | Peter Mikhail | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-02-27 |
1891329025 | Trina Fellers | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-02-26 |
1619501178 | Malinda Ekwunife Nwanisobi | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-02-24 |
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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.