TRACY DASSIE (NPI# 1508485228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508485228 |
| Entity Type | Individual |
| Full Name | TRACY DASSIE |
| Credential | PHARMD |
| Practice Address |
1823 E Kimberly Rd Davenport IA 52807-2027 |
| Practice Telephone | 5633595313 |
| Practice Fax Number | 5633448563 |
| Mailing Telephone | 5633595313 |
| Mailing Fax Number | 5633448563 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19368 | IA | Pharmacy Service Providers |
| Street Address |
1823 E KIMBERLY RD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153343 | James Farrell Scott | Pharmacist | 1823 E Kimberly Rd, Davenport, IA 52807-2027 | 2005-06-08 |
| 1639798382 | Jennifer Colwell | Pharmacist | 1823 E Kimberly Rd, Davenport, IA 52807-2027 | 2020-04-13 |
| 1962032920 | Mary Hanson | Pharmacist | 1823 E Kimberly Rd, Davenport, IA 52807-2027 | 2020-01-17 |
| 1326402298 | Melinda Sullins | Dietitian, Registered | 1823 E Kimberly Rd, Davenport, IA 52807-2027 | 2016-04-07 |
| 1558722454 | Kathryn Anne Schaeffer | Dietitian, Registered | 1823 E Kimberly Rd, Davenport, IA 52807 | 2016-03-19 |
| 1972934768 | Alyssa Doerr | Dietitian, Registered | 1823 E Kimberly Rd, Davenport, IA 52807-2027 | 2013-12-05 |
| 1952504086 | Thomas Gene Mcbride | Pharmacist | 1823 E Kimberly Rd, Davenport, IA 52807-2027 | 2007-06-06 |
| 1003842477 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1823 E Kimberly Rd, Davenport, IA 52807-2027 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| 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 |
|---|---|---|---|---|
| 1710590815 | Bala Kode | Pharmacist | 2306 North Blvd W Ste A, Davenport, FL 33837-8976 | 2020-08-28 |
| 1528685468 | Melodee Casas Contreras | Pharmacist | 6075 Hwy 17-92 N, Davenport, FL 33896 | 2020-06-26 |
| 1861033748 | Robert Lichtenstein | Pharmacist | 105 Castellon Ct, Davenport, FL 33837-6853 | 2019-10-02 |
| 1093288177 | Emma Awad | Pharmacist | 2790 E 53rd St, Davenport, IA 52807-3007 | 2019-01-10 |
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1225413701 | Katherine Finkey | Pharmacist | 1012 W 60th St, Davenport, IA 52806-2808 | 2015-07-24 |
| 1518383611 | Javier Ortiz | Pharmacist | 1317 Oakcrest Ct, Davenport, FL 33837-1707 | 2014-03-13 |
| 1487901229 | Chelsea D Schorg | Pharmacist | 4436 N Brady St, Ste 101, Davenport, IA 52806-4063 | 2012-08-11 |
| 1215293261 | Mark S Green | Pharmacist | 923 W Central Park Ave, Davenport, IA 52804-1802 | 2012-04-04 |
| Find all providers in DAVENPORT | ||||
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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.