JASON S BEALS (NPI# 1568063063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568063063 |
| Entity Type | Individual |
| Full Name | JASON S BEALS |
| Credential | PHARMD. |
| Practice Address |
11901 Standiford Plaza Dr Louisville KY 40229-5906 |
| Practice Telephone | 5029686766 |
| Practice Fax Number | 5029686744 |
| Mailing Telephone | 5029686766 |
| Mailing Fax Number | 5029686744 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26026283A | IN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 017353 | KY | Pharmacy Service Providers |
| Street Address |
11901 STANDIFORD PLAZA DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40229-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124072871 | Michael J Morris | Optometrist | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2006-05-19 |
| 1013518760 | Hannah Thomas | Pharmacist | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2020-11-07 |
| 1992219174 | Noelle Allison Lang | Anesthesiology | 11901 Standiford Plaza Dr, Louisville, KY 40229 | 2017-11-26 |
| 1710405105 | Stephanie Mesha Bryant | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2017-09-06 |
| 1396294401 | Hershema Burnett | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2016-09-30 |
| 1356711063 | Izabella Maria Sullivan | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2015-10-07 |
| 1467885251 | Elizabeth Hugenberg | Pharmacist | 11901 Standiford Plaza Dr, Pharmacy, Louisville, KY 40229-5906 | 2013-08-15 |
| 1922394352 | Shoshana Dupree | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2011-06-23 |
| 1255659090 | Julie Ann Buckman | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2010-05-04 |
| 1326284209 | Kimberly Williams | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2008-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1649472655 | Janice K Jones | Physical Therapy Assistant | 5111 Commerce Crossing Suite 100, Louisville, KY 40229 | 2007-06-01 |
| 1528102183 | R Douglas Edwards Jr. | Dentist | 3807 Freedom Way, Louisville, KY 40229 | 2007-02-16 |
| 1407833940 | Robert D Bretz | Radiology | 879 Old Preston Highway North, Louisville, KY 40229 | 2005-12-27 |
| 1134606619 | Brynn Ashley Dombroski | Behavioral Analyst | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-07-26 |
| 1669972923 | Mariah Evelyn Laird | Occupational Therapist | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-02-13 |
| 1134664949 | Jessica Ann Mattingly | Nurse Practitioner | 170 Dr Arla Way, Louisville, KY 40229 | 2017-01-03 |
| 1356727929 | Meredith Kyle-alvey Luckett | Physical Therapist | 170 Dr Arla Way, Louisville, KY 40229 | 2015-08-06 |
| 1861688459 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9500 Preston Hwy, Louisville, KY 40229-1166 | 2007-09-18 |
| 1063835296 | Brittany Ward | Pharmacist | 9500 Preston Hwy, Louisville, KY 40229-1199 | 2014-01-23 |
| Find all providers in zip 40229 | ||||
| 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 |
|---|---|---|---|---|
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1699372821 | Patricia Bentz | Pharmacist | 12803 Dove Lake Dr, Louisville, KY 40299-8341 | 2020-10-01 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1922619840 | Keaton Creed | Pharmacist | 9519 Golders Green Cir Unit 301, Louisville, KY 40229-1382 | 2020-08-13 |
| 1588274195 | Katrina Kuban | Pharmacist | 900 Baxter Ave, Louisville, KY 40204-2047 | 2020-08-07 |
| 1144830829 | Madion Olivia Poteet | Pharmacist | 3814 Breckenridge Ln, Louisville, KY 40218-2881 | 2020-08-06 |
| 1225647159 | Mary Beth Ecken | Pharmacist | 1839 Lauderdale Rd, Louisville, KY 40205-1623 | 2020-07-27 |
| 1851917793 | Leanne Nieters | Pharmacist | 2303 Manchester Rd, Louisville, KY 40205-3045 | 2020-06-16 |
| 1568082295 | Amy Gostomski | Pharmacist | 13410 Eastpoint Centre Dr Ste 101, Louisville, KY 40223-4160 | 2020-04-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40229 |
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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.