BETTY SUE HANNEKE (NPI# 1487929295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487929295 |
| Entity Type | Individual |
| Full Name | BETTY SUE HANNEKE |
| Credential | RPH |
| Practice Address |
301 Highlands Boulevard Dr Manchester MO 63011-4385 |
| Practice Telephone | 6366867409 |
| Practice Fax Number | 6366867409 |
| Mailing Telephone | 6366867409 |
| Mailing Fax Number | 6366867409 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26911 | MO | Pharmacy Service Providers |
| Street Address |
301 HIGHLANDS BOULEVARD DR |
| City | MANCHESTER |
| State | MO |
| Zip Code | 63011-4385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717405 | Michael P Steele | Optometrist | 301 Highlands Boulevard Dr, Manchester, MO 63011-4385 | 2005-08-22 |
| 1255726006 | Costco Wholesale Corporation | Hearing Aid Equipment | 301 Highlands Boulevard Dr, Manchester, MO 63011-4385 | 2015-03-30 |
| 1104217850 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 301 Highlands Boulevard Dr, Manchester, MO 63011-4385 | 2015-02-16 |
| 1588940563 | Alyce M Greene | Pharmacist | 301 Highlands Boulevard Dr, Manchester, MO 63011-4385 | 2011-10-22 |
| 1639453004 | Ashley A Hercules | Pharmacist | 301 Highlands Boulevard Dr, Manchester, MO 63011-4385 | 2011-10-04 |
| 1548593908 | Costco Wholesale Corporation | Pharmacy | 301 Highlands Boulevard Dr, Manchester, MO 63011 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| 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 |
|---|---|---|---|---|
| 1053911966 | Brittany Mary Travis | Pharmacist | 444 Center St # 117, Manchester, CT 06040-3926 | 2020-10-29 |
| 1255931788 | Hilary Tooley | Pharmacist | 725 Gold St, Manchester, NH 03103-4008 | 2020-10-26 |
| 1659913028 | Stephen Sam Penn | Pharmacist | 175 Queen City Ave Ste 1, Manchester, NH 03101-7121 | 2019-10-17 |
| 1407412901 | Eunice Boakye | Pharmacist | 210 Pine St Apt 228, Manchester, CT 06040-8411 | 2019-05-10 |
| 1528547858 | Justin Andrew Sandlin | Pharmacist | 2727 S Highway 421, Manchester, KY 40962-7556 | 2018-08-08 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1609325026 | Kaitlin Rennie | Pharmacist | 1225 Bodwell Rd Apt 30, Manchester, NH 03109-5817 | 2016-09-27 |
| 1639522048 | Mohammed Kasim Manzoor I | Pharmacist | 70 Cliffside Dr, Unit E, Manchester, CT 06042-3481 | 2016-07-20 |
| 1891140513 | Edward Braye Entsiwah | Pharmacist | 48 Benton St, Manchester, CT 06040-4304 | 2016-05-01 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 63011 |
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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.