DEJA TIANNA STEWART (NPI# 1508478702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508478702 |
| Entity Type | Individual |
| Full Name | DEJA TIANNA STEWART |
| Practice Address |
9300 E Gregory Blvd Raytown MO 64133-6523 |
| Mailing Address |
306 Copeland Dr Greenwood MO 64034-9690 |
| Practice Telephone | 8163567386 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2019028684 | MO | Pharmacy Service Providers |
| Street Address |
9300 E GREGORY BLVD |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336154350 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9300 E Gregory Blvd, Raytown, MO 64133-6523 | 2006-07-29 |
| 1194009399 | Frankline Tijieh Musongwe | Pharmacist | 9300 E Gregory Blvd, Raytown, MO 64133 | 2011-10-06 |
| 1033300165 | Ada Hendricks | Nurse Practitioner | 9300 E Gregory Blvd, Raytown, MO 64133-6523 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| 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 |
|---|---|---|---|---|
| 1972103893 | Richard L. Hess | Pharmacist | 10300 E 350 Hwy, Raytown, MO 64138-1803 | 2020-10-29 |
| 1912926981 | Innovative Pharmaceutical Services Inc. | Pharmacist | 7506 Raytown Rd, Raytown, MO 64138-0598 | 2006-07-19 |
| 1780284349 | Bailey Marie Burt | Pharmacist | 10300 E 350 Hwy, Raytown, MO 64138-1803 | 2020-10-31 |
| 1063844991 | Bryan Anderson | Pharmacist | 9400 E 350, Raytown, MO 64133-6509 | 2013-08-02 |
| 1235561150 | Thomas Gannon | Pharmacist | 9400 E 350, Raytown, MO 64133-6509 | 2013-08-01 |
| 1790117828 | James R Bryant | Pharmacist | 9400 E 350, Raytown, MO 64133-6509 | 2013-07-31 |
| 1194009399 | Frankline Tijieh Musongwe | Pharmacist | 9300 E Gregory Blvd, Raytown, MO 64133 | 2011-10-06 |
| 1760575369 | Charles Terry Fink | Pharmacist | 7506 Raytown Rd, Raytown, MO 64138 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902777 | Kimberly Rachelle Troha | Pharmacist | 605 S Jewel Ct, Nixa, MO 65714-7590 | 2020-11-06 |
| 1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
| 1386245108 | Stephanie Mummert | Pharmacist | 404 Nw Highcliffe Dr, Lees Summit, MO 64081-2061 | 2020-11-06 |
| 1023619038 | William Molenaar | Pharmacist | 18401 State Hwy 13, Branson West, MO 65737 | 2020-11-05 |
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1457952624 | Brian Gregory Young | Pharmacist | 185 St.robert Blvd, St. Robert, MO 65584-6558 | 2020-11-04 |
| 1013518224 | Brian James Voss | Pharmacist | 512 Deer Pointe Ct, Fenton, MO 63026-3061 | 2020-11-04 |
| 1730780917 | Amy Benson | Pharmacist | 5100 N Towne Centre Dr, Ozark, MO 65721-7479 | 2020-11-04 |
| 1952902355 | Aaron Kate Menley | Pharmacist | 2025 West Business Highway 60, Dexter, MO 63841-6384 | 2020-11-03 |
| 1447851043 | Elizabeth Ahrens | Pharmacist | 625 Sw Us Highway 40, Blue Springs, MO 64014-3232 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.