MRS. DOROTHY S VERSHURE (NPI# 1396892386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396892386 |
| Entity Type | Individual |
| Full Name | MRS. DOROTHY S VERSHURE |
| Credential | REGISTERED PHARMACIS |
| Practice Address |
Rosebud Ihs Hospital Soldier Creek Road Rosebud SD 57570-0400 |
| Mailing Address |
25413 Hesapa Trail Custer SD 57730-5413 |
| Practice Telephone | 6057473245 |
| Practice Fax Number | 6057475348 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | R4372 | SD | Pharmacy Service Providers |
| Street Address |
ROSEBUD IHS HOSPITAL SOLDIER CREEK ROAD |
| City | ROSEBUD |
| State | SD |
| Zip Code | 57570-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023078623 | Shannelle Susanne Rico | Family Medicine | Rosebud Ihs Hospital, Soldier Creek Road, Rosebud, SD 57570-0400 | 2006-03-27 |
| 1457652372 | Castle Kelly | Registered Nurse | Rosebud Ihs Hospital, Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2010-11-09 |
| 1720389646 | Julia Stevicks | Registered Nurse | Rosebud Ihs Hospital, Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2010-11-09 |
| 1548561467 | Amy Matucha | Registered Nurse | Rosebud Ihs Hospital, Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2010-11-09 |
| 1205089422 | Donald Roger Mattison | Obstetrics & Gynecology | Rosebud Ihs Hospital, Soldier Creek Road, Rosebud, SD 57570-0400 | 2008-10-31 |
| 1205012879 | Tanya A Fay | Licensed Practical Nurse | Rosebud Ihs Hospital, Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2008-01-14 |
| 1316121833 | Laura J Dunn | Registered Nurse | Rosebud Ihs Hospital, Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2007-12-19 |
| 1851598312 | Carmelle Roach | Registered Nurse | Rosebud Ihs Hospital, Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2007-06-28 |
| 1760689228 | Beverly M Grimshaw | Registered Nurse | Rosebud Ihs Hospital, Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2007-06-28 |
| 1578785457 | Maria Wilkie | Registered Nurse | Rosebud Ihs Hospital, Soldier Creek Road, Rosebud, SD 57570 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842618 | Lawrence Micheal Gary Sr. | Technician | 28926 Bia 1, Rosebud, SD 57570 | 2020-05-07 |
| 1184141400 | Guardian Flight LLC | Ambulance | 1506 Airport Road, Rosebud, SD 57570 | 2017-08-28 |
| 1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
| 1073867420 | Rosebud Sioux Tribe -chr | Private Vehicle | 729 Hospital Drive, Rosebud, SD 57570 | 2012-11-07 |
| 1053662577 | Barbara Jean Davis | Registered Nurse | Bia Route 1, Rosebud, SD 57570 | 2012-09-24 |
| 1760760458 | Lucy Maria Reifel | Pediatrics | 100 Dialysis Lane, Rosebud, SD 57570 | 2011-07-28 |
| 1255577847 | Jacquelyn Hogan | Registered Nurse | Hwy 18, Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2009-01-02 |
| 1346426269 | Robin J Stenson | Registered Nurse | Hwy 18 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2008-01-10 |
| 1063602365 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Private Vehicle | #7 Hospital Lane, Rosebud, SD 57570 | 2007-08-01 |
| 1184826695 | Krista Horvath | Registered Nurse | Bia Rt 1 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2007-06-05 |
| Find all providers in zip 57570 | ||||
| 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 |
|---|---|---|---|---|
| 1659424307 | Jon Robert Schuchardt | Pharmacist | 400 Soldier Creek Rd, Rosebud, SD 57570 | 2007-01-18 |
| 1942848775 | Sophie Chau | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-12-11 |
| 1124677653 | Rodger An | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-09-07 |
| 1922655141 | Melissa Kaye Rodriguez | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-08-22 |
| 1063066751 | Reji Mavumkal | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-07-31 |
| 1528507852 | Jacob Bowen | Pharmacist | 400 Soldier Creek Rd, Rosebud, SD 57570 | 2017-02-20 |
| 1194083485 | Ryan Paul Barker | Pharmacist | 400 Soldier Creek Road, Rosebud, SD 57570 | 2012-04-25 |
| 1295967735 | Abby Peterson | Pharmacist | 400 Soldier Creek Road, Rosebud, SD 57570 | 2009-08-18 |
| 1801935499 | David Anthony Mentele | Pharmacist | Rosebud Ihs Hospital, Soldier Creek Road, Rosebud, SD 57570 | 2007-02-06 |
| 1396892493 | Peggy S Willcuts | Pharmacist | Rosebud Ihs Hospital, Soldier Creek Road, Rosebud, SD 57570-0400 | 2007-01-04 |
| Find all providers in ROSEBUD | ||||
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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.