STACEY HOLDERREAD (NPI# 1497038962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497038962 |
| Entity Type | Individual |
| Full Name | STACEY HOLDERREAD |
| Credential | RPH |
| Practice Address |
104 Singleton Dr North Liberty IN 46554-9051 |
| Practice Telephone | 5746563218 |
| Mailing Telephone | 5746563218 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26018667A | IN | Pharmacy Service Providers |
| Street Address |
104 SINGLETON DR |
| City | NORTH LIBERTY |
| State | IN |
| Zip Code | 46554-9051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306022777 | Liberty Township Trustee | Community Health Worker | 108 South Street, North Liberty, IN 46554 | 2008-01-16 |
| 1649441890 | Kerry Robert Knape | Dentist | 100 S Main Street, North Liberty, IN 46554 | 2008-03-17 |
| 1740281690 | Tamera J. Andrews | Nurse Practitioner | 100 S Main St, North Liberty, IN 46554 | 2005-08-02 |
| 1912550765 | Shamrock Health and Wellness Clinic, LLC | Clinic/Center | 100 S Main St, North Liberty, IN 46554-7705 | 2019-07-22 |
| 1952840548 | James Mitchell | Occupational Therapist | 63995 Thorn Rd, North Liberty, IN 46554-9174 | 2017-02-16 |
| 1295275337 | Kristin Curtis | Specialist/Technologist, Other | 103 Taylors Way, North Liberty, IN 46554-9223 | 2017-03-07 |
| 1346851326 | Christian Michael Porter | Student in an Organized Health Care Education/Training Program | 1204 Staceys Meadow Ln, North Liberty, IN 46554-9231 | 2020-08-12 |
| 1689948556 | Anita Ellen Shipley | Physical Therapy Assistant | 66325 Redwood Rd, North Liberty, IN 46554-9456 | 2012-02-23 |
| 1215579271 | Kathleen Knowlton | Physical Therapy Assistant | 62603 Redwood Rd, North Liberty, IN 46554-9743 | 2019-10-11 |
| 1972169878 | Jasmine Kosinski | Occupational Therapist | 60250 Crumstown Hwy, North Liberty, IN 46554-9753 | 2019-05-15 |
| Find all providers in zip 46554 | ||||
| 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 |
|---|---|---|---|---|
| 1982943817 | Theresa M Lower | Pharmacist | 765 Pheasant Ln, North Liberty, IA 52317-4771 | 2013-02-13 |
| 1073895199 | Derek Alan Miller | Pharmacist | 625 Pacha Pkwy, North Liberty, IA 52317-4831 | 2011-09-14 |
| 1750553418 | Bridget Biabeke Babep | Pharmacist | 756 Savannah Drive, North Liberty, IA 52317-2704 | 2008-04-01 |
| 1073691622 | Shauna Teresa Raner | Pharmacist | 655 Liberty Way, Suite 3, North Liberty, IA 52317-9154 | 2006-11-01 |
| 1861455594 | Jill Weetman | Pharmacist | 555 W Cherry St, North Liberty, IA 52317-9797 | 2006-04-12 |
| 1780201236 | David Iverson | Pharmacist | 625 Pacha Pkwy, North Liberty, IA 52317-4831 | 2020-07-01 |
| 1154961449 | Fang Chen | Pharmacist | 625 Pacha Pkwy, North Liberty, IA 52317-4831 | 2020-01-14 |
| 1023661881 | Katarina Brown | Pharmacist | 555 W Cherry St, North Liberty, IA 52317-9797 | 2019-07-22 |
| 1992369656 | Melissa Kessler Williams | Pharmacist | 625 Pacha Pkwy, North Liberty, IA 52317-4831 | 2019-04-29 |
| 1083194401 | Ashleigh Arndorfer | Pharmacist | 555 W Cherry St, North Liberty, IA 52317-9797 | 2018-08-15 |
| Find all providers in NORTH LIBERTY | ||||
| City | NORTH LIBERTY |
| Zip Code | 46554 |
Please comment or provide details below to improve the information on STACEY HOLDERREAD.
| 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.