DR. MICHELLE LEACH (NPI# 1417254723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417254723 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE LEACH |
| Credential | D.PH.,PIC. |
| Practice Address |
4221 Maynardville Hwy Maynardville TN 37807-3555 |
| Practice Telephone | 8659929455 |
| Practice Fax Number | 8659927979 |
| Mailing Telephone | 8659929455 |
| Mailing Fax Number | 8659927979 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7688 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023256765 | Michelle Lynn Leach | Licensed Practical Nurse | 52008 N Ridge Rd, Vermilion, OH 44089-9409 | 2009-02-03 |
| 1780888123 | Michelle Marie Leach | Registered Nurse | 580 E Clarendon St, Gladstone, OR 97027-2517 | 2007-06-11 |
| 1679642771 | Michelle Leach | Chiropractor | 9474 Kearny Villa Rd Ste 111, San Diego, CA 92126-4596 | 2006-11-06 |
| 1427679604 | Michelle Chan Leach | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-04-29 |
| 1780043810 | Michelle Leach | Licensed Practical Nurse | 24 2nd St, Canisteo, NY 14823-1120 | 2016-02-17 |
| 1447564083 | Michelle Elizabeth Leach | Occupational Therapist | 535 E 70th St, New York, NY 10021-4823 | 2010-08-05 |
| Street Address |
4221 MAYNARDVILLE HWY |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396766366 | Maynardville Pharmacy Inc | Pharmacy | 4221 Maynardville Hwy, Maynardville, TN 37807-3555 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1881117521 | Kristy Michille Bolt | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2017-07-25 |
| 1275986333 | Ashley Nicole Russell | Counselor | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2016-07-13 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1962843409 | Mary Elizabeth Phillips | Social Worker | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2013-07-12 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| Find all providers in zip 37807 | ||||
| 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 |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1871625376 | Charlie David Coscia | Pharmacist | 2710 Maynardville Hwy, Maynardville, TN 37807-3021 | 2007-03-10 |
| 1649835919 | Benjamin Collins | Pharmacist | 2959 Maynardville Hwy, Maynardville, TN 37807-3260 | 2019-05-02 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| 1003115882 | William Hobbs | Pharmacist | 2710 Maynardville Hwy, Maynardville, TN 37807-3021 | 2011-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447628 | Daniel Lasselle | Pharmacist | 3133 Boulder Park Dr, Nashville, TN 37214-3821 | 2020-11-03 |
| 1407453756 | Cameron Davidson | Pharmacist | 1037 Livingstone Ln, Mount Juliet, TN 37122-0605 | 2020-10-08 |
| 1669089041 | Victor Ikechukwu Emmanuel | Pharmacist | 107 Charles E Davis Blvd # 2745, Nashville, TN 37210-2745 | 2020-09-29 |
| 1730796467 | Judy Trac | Pharmacist | 410 Mayfield Pl, Brentwood, TN 37027-8542 | 2020-09-27 |
| 1023623279 | Jansje M Hoppe-roberts | Pharmacist | 2539 Brachton Ave, Germantown, TN 38139-6409 | 2020-09-14 |
| 1093320285 | Joanna J Porter | Pharmacist | 4021 Meadow Hill Dr, Nashville, TN 37218-1728 | 2020-09-14 |
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1841805637 | Jenifer C. Jennings | Pharmacist | 615 State St Apt 201, Knoxville, TN 37902-1243 | 2020-09-09 |
| 1477167500 | Alysa Alexandria Ness | Pharmacist | 105 Woodyside Dr, Hendersonville, TN 37075-4445 | 2020-09-05 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
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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.