DR. CHARLES BLAKE RILEY (NPI# 1447426861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447426861 |
| Entity Type | Individual |
| Full Name | DR. CHARLES BLAKE RILEY |
| Credential | PHARM.D. |
| Practice Address |
1409 N Jefferson St Carrollton MO 64633-1945 |
| Practice Telephone | 6605422020 |
| Practice Fax Number | 6605422025 |
| Mailing Telephone | 6605422020 |
| Mailing Fax Number | 6605422025 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2008018176 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861034803 | Charles Riley | Physical Therapy Assistant | 100 Reservoir Rd, Saint Clairsville, OH 43950-1064 | 2019-10-10 |
| 1821357419 | Charles Alexander Riley | Otolaryngology | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2012-05-16 |
| 1629141411 | Charles P. Riley | Specialist | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514-6050 | 2006-11-17 |
| 1104845981 | Charles A Riley | Internal Medicine | 311 9th St N Ste 310, Naples, FL 34102-5889 | 2006-07-19 |
| Street Address |
1409 N JEFFERSON ST |
| City | CARROLLTON |
| State | MO |
| Zip Code | 64633-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275627127 | Platz Enterprises Inc | Durable Medical Equipment & Medical Supplies | 1409 N Jefferson St, Carrollton, MO 64633-1945 | 2006-10-03 |
| 1396198818 | Platz Enterprises Inc. | Pharmacy | 1409 N Jefferson St, Carrollton, MO 64633-1945 | 2016-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295140572 | B-pharm, Inc | Pharmacy | 1003 Highway 65 North, Suite B, Carrollton, MO 64633 | 2014-06-25 |
| 1023252541 | Pamela Lynn Ralls | Family Medicine | 1502 N.jefferson Street, Ccmh Medical Plaza, Carrollton, MO 64633 | 2009-04-28 |
| 1578733648 | Sloan Eyecare Center L.l.c | Optometrist | 1405 N Jefferson, Carroll County Jefferson Medical Pavillion, Carrollton, MO 64633 | 2008-03-05 |
| 1679616742 | Arlene Capistrano Germann | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Lakeview Ct, Carrollton, MO 64633 | 2007-02-15 |
| 1932110483 | Tori D Waggoner | Pharmacist | 1003 Hwy 65 North, Carrollton, MO 64633 | 2006-08-10 |
| 1376553511 | Gay Lynn Korff | Pharmacist | 1003 Hwy. 65, Carrollton, MO 64633 | 2006-08-09 |
| 1790730182 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1003 N Us Highway 65, Carrollton, MO 64633 | 2006-05-23 |
| 1700253812 | Jonna Hickcox Rechterman | Nurse Practitioner | 1502 N Jefferson St, Carrollton, MO 64633 | 2015-08-24 |
| 1790097764 | Jodi Dawn Ahnefeld | Pharmacist | 1003 Hwy 65 North, Carrollton, MO 64633 | 2010-07-07 |
| 1770618274 | James Mitchell Germann | Day Training/Habilitation Specialist | 1102 Lakeview Ct, Carrollton, MO 64633 | 2007-02-23 |
| Find all providers in zip 64633 | ||||
| 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 |
|---|---|---|---|---|
| 1124639455 | Jong Yun Han | Pharmacist | 1913 Diamond Cluster, Carrollton, TX 75010-4519 | 2020-08-11 |
| 1841831781 | Anna Saju | Pharmacist | 1111 W Frankford Rd Ste 104, Carrollton, TX 75007-4921 | 2019-10-02 |
| 1205491677 | Sharon Stoorza Burley | Pharmacist | 2501 E Hebron Pkwy Ste 100a, Carrollton, TX 75010-4468 | 2019-05-01 |
| 1659835320 | Gabriel Gherman | Pharmacist | 1963 Four Notch Rd, Carrollton, GA 30116-5223 | 2019-01-28 |
| 1043709264 | Tracey Lynne Daniels | Pharmacist | 501 Marsh Hawk Trl, Carrollton, VA 23314-3538 | 2018-05-03 |
| 1215477195 | Patrick Vo | Pharmacist | 1725 Flowers Dr, Carrollton, TX 75007 | 2017-02-27 |
| 1902282312 | Julie J Kim | Pharmacist | 3620 Huffines Blvd, Apt. 3126, Carrollton, TX 75010-6446 | 2015-08-07 |
| 1659762987 | Sheena Thomas Kottackal | Pharmacist | 1453 Meadow Vista Dr, Carrollton, TX 75007 | 2015-02-09 |
| 1811396070 | Shiv Patel | Pharmacist | 4465 Young Dr, Carrollton, TX 75010-1145 | 2014-08-13 |
| 1174944052 | Nisha Malhotra | Pharmacist | 1525 Bosque Dr, Carrollton, TX 75010-6428 | 2013-12-19 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 64633 |
Please comment or provide details below to improve the information on DR. CHARLES BLAKE RILEY.
| 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.