MRS. STACY LOUISEB BATES (NPI# 1578849535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578849535 |
| Entity Type | Individual |
| Full Name | MRS. STACY LOUISEB BATES |
| Credential | PHARMD |
| Practice Address |
6390 Brooklyn Blvd Brooklyn Center MN 55429-2600 |
| Practice Telephone | 7635859946 |
| Practice Fax Number | 7635699904 |
| Mailing Telephone | 7635859946 |
| Mailing Fax Number | 7635859418 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 119993 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 2422323 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770835019 | Stacy Nichole Bates | Dietitian, Registered | 941 High Low Dr, New Braunfels, TX 78132-4214 | 2012-10-10 |
| Street Address |
6390 BROOKLYN BLVD |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55429-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669487989 | Walgreen Co | Pharmacy | 6390 Brooklyn Blvd, Brooklyn Center, MN 55429-2600 | 2006-07-29 |
| 1972114528 | Phillip Joseph Breker | Pharmacist | 6390 Brooklyn Blvd, Brooklyn Center, MN 55429-2600 | 2020-08-16 |
| 1972902468 | Thong Thao | Pharmacist | 6390 Brooklyn Blvd, Brooklyn Center, MN 55429-2600 | 2014-08-20 |
| 1881970812 | Rachel K Buerman | Pharmacist | 6390 Brooklyn Blvd, Brooklyn Center, MN 55429-2600 | 2011-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| Find all providers in zip 55429 | ||||
| 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 |
|---|---|---|---|---|
| 1316332687 | Kirk Johnson | Pharmacist | 6900 Willow Ln, Brooklyn Center, MN 55430-1340 | 2015-04-02 |
| 1013201383 | Luanne Marie Brundage | Pharmacist | 6100 Shingle Creek Pkwy, T-0240, Brooklyn Center, MN 55430-2110 | 2011-06-04 |
| 1558960203 | Peter George Pfeiffer | Pharmacist | 1200 Shingle Creek Xing, Brooklyn Center, MN 55430-2835 | 2020-10-23 |
| 1891393278 | Kelli J Danielson | Pharmacist | 1200 Shingle Creek Xing, Brooklyn Center, MN 55430-2835 | 2020-10-16 |
| 1972114528 | Phillip Joseph Breker | Pharmacist | 6390 Brooklyn Blvd, Brooklyn Center, MN 55429-2600 | 2020-08-16 |
| 1013539543 | Elaine Terry | Pharmacist | 5801 Brooklyn Blvd, Brooklyn Center, MN 55429-2521 | 2020-05-06 |
| 1821470824 | Andrea Ketcham | Pharmacist | 6100 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2110 | 2015-06-25 |
| 1972902468 | Thong Thao | Pharmacist | 6390 Brooklyn Blvd, Brooklyn Center, MN 55429-2600 | 2014-08-20 |
| 1881970812 | Rachel K Buerman | Pharmacist | 6390 Brooklyn Blvd, Brooklyn Center, MN 55429-2600 | 2011-10-21 |
| 1376838276 | Robert Francis Stroncek | Pharmacist | 6100 Shingle Creek Pkwy, T-0240, Brooklyn Center, MN 55430-2110 | 2011-06-20 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55429 |
Please comment or provide details below to improve the information on MRS. STACY LOUISEB BATES.
| 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.