MR. ROBERT ALLEN MCGOUGH (NPI# 1508924218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508924218 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ALLEN MCGOUGH |
| Credential | DPH |
| Practice Address |
109 Kerr Avenue Poteau OK 74953 |
| Practice Telephone | 9186491100 |
| Practice Fax Number | 9186491102 |
| Mailing Telephone | 9186491100 |
| Mailing Fax Number | 9186491102 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9636 | OK | Pharmacy Service Providers |
| Street Address |
109 KERR AVENUE |
| City | POTEAU |
| State | OK |
| Zip Code | 74953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| 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 |
|---|---|---|---|---|
| 1871651091 | Candice L Vaughn | Pharmacist | 109 Kerr Blvd, Poteau, OK 74953-5231 | 2006-12-04 |
| 1316493380 | Megan Schmidt | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2016-08-30 |
| 1679929137 | Heather Noel Jarrett | Pharmacist | 1940 N Broadway St, Poteau, OK 74953-2638 | 2016-05-13 |
| 1578938064 | Jammie Owens | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2015-12-09 |
| 1063847556 | Stefanie Janine Terrell | Pharmacist | 109 Kerr Ave, Poteau, OK 74953 | 2013-09-04 |
| 1689953929 | William Burt-lewis Matthews | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2011-08-04 |
| 1124344700 | Jerry W Waymire | Pharmacist | 2219 N Broadway St, Poteau, OK 74953-2007 | 2010-04-08 |
| 1467785477 | Terri J Martin | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2009-09-09 |
| 1760615009 | Christopher Knight | Pharmacist | 109 Kerr Blvd, Poteau, OK 74953-5231 | 2009-09-03 |
| 1013140250 | Gary Paul Jordan | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2009-09-03 |
| Find all providers in POTEAU | ||||
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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.