LUCY MANU (NPI# 1598327827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598327827 |
| Entity Type | Individual |
| Full Name | LUCY MANU |
| Credential | PHARMACIST |
| Practice Address |
24276 166th Street; Airport Road Eagle Butte SD 57625 |
| Mailing Address |
Po Box 895 Eagle Butte SD 57625-0895 |
| Practice Telephone | 6059641520 |
| Mailing Telephone | 7325813827 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03337773 | OH | Pharmacy Service Providers |
| Street Address |
24276 166TH STREET; AIRPORT ROAD |
| City | EAGLE BUTTE |
| State | SD |
| Zip Code | 57625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998359 | Jill M Marshall | Registered Nurse | 24279 166th St. Airport Road, Eagle Butte, SD 57625 | 2020-06-29 |
| 1871110890 | Stephen Andrew Williams | Registered Nurse | 24767 166th St, Eagle Butte, SD 57625 | 2020-06-26 |
| 1730706706 | Shannon Renee Brautigan | Registered Nurse | 24276 166th Street Airport Rd., Eagle Butte, SD 57625 | 2020-06-25 |
| 1518429539 | Lisa Marie Brower | Registered Nurse | 24276 166th Street, Airport Rd., Eagle Butte, SD 57625 | 2019-04-01 |
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1619455540 | Alycia Oster | Registered Nurse | 24276 166th St Airport Rd, Eagle Butte, SD 57625 | 2018-08-02 |
| 1447765987 | Deidra Monique Hall | Nurse's Aide | 211 S Spiel Court, Eagle Butte, SD 57625 | 2017-12-06 |
| 1295271070 | Cree Iron Cloud | Registered Nurse | #24276 Airport Rd, Eagle Butte, SD 57625 | 2017-01-17 |
| 1922452531 | Holly Mattern | Registered Nurse | 24276 166th Street Airport Rd, Eagle Bute, SD 57625 | 2016-04-20 |
| 1326413618 | Linda Bruguier | Registered Nurse | 24276 166 St Airport Rd, Box 1012, Eagle Butte, SD 57625 | 2015-12-11 |
| Find all providers in zip 57625 | ||||
| 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 |
|---|---|---|---|---|
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1710387568 | Ellen Jung | Pharmacist | 24276 166th Street, Airport Rd, Eagle Butte, SD 57625 | 2014-08-29 |
| 1912307752 | Roger Si-en Liu | Pharmacist | 24276 166th Street, Airport Road, Eagle Butte, SD 57625-0461 | 2014-08-29 |
| 1295082840 | Latilia Deanne Mack | Pharmacist | 24276 166th St, Airport Rd, Eagle Butte, SD 57625 | 2012-08-13 |
| 1598388423 | Michelle Wai-fong Hui | Pharmacist | 24276 166th Street, Airport Road, Eagle Butte, SD 57625 | 2020-05-27 |
| 1659743714 | Matthew Watters | Pharmacist | 24276 166th Street, Airport Road, Eagle Butte, SD 57625 | 2015-10-28 |
| 1194101105 | Carlie M Soper | Pharmacist | 24276 166th Street Airport Road, Eagle Butte, SD 57625 | 2015-08-03 |
| 1376886705 | Lethi Bui Pham | Pharmacist | 24276 166th Street, Cheyenne River Health Unit, Eagle Butte, SD 57625 | 2013-04-04 |
| 1740524438 | Ylien Phung | Pharmacist | 24276 166th Street, Eagle Butte, SD 57625 | 2012-11-19 |
| 1952604944 | Saomony Cheam | Pharmacist | 317 Main Street, Eagle Butte, SD 57625 | 2010-12-13 |
| Find all providers in EAGLE BUTTE | ||||
| City | EAGLE BUTTE |
| Zip Code | 57625 |
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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.