DR. CHARLES BRENT STUBBS (NPI# 1619293552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619293552 |
| Entity Type | Individual |
| Full Name | DR. CHARLES BRENT STUBBS |
| Credential | PHARMD |
| Practice Address |
1055 N 300 W Suite 201 Provo UT 84604-3344 |
| Practice Telephone | 8013577333 |
| Mailing Telephone | 8013577333 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5818398-1701 | UT | Pharmacy Service Providers |
| Street Address |
1055 N 300 W SUITE 201 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397491 | Paul Ferron Olson | Specialist | 1055 N 300 W, Ste 204, Provo, UT 84604-3374 | 2005-06-27 |
| 1215351416 | Jenny Coy | Nurse Practitioner | 1055 N 300 W, Ste 401, Provo, UT 84604-3306 | 2014-02-07 |
| 1356682553 | Andrea Lee Driggs | Nurse Practitioner | 1055 N 300 W, Suite 110, Provo, UT 84604-3344 | 2013-03-13 |
| 1003151853 | Sharla Morgan | Nurse Practitioner | 1055 N 300 W, Suite 212, Provo, UT 84604-3344 | 2012-12-05 |
| 1720356538 | Ihc Health Services Inc | Surgery | 1055 N 300 W, Ste 205, Provo, UT 84604-5044 | 2011-12-07 |
| 1053691246 | Steven Forsey | Audiologist | 1055 N 300 W, Ste 401, Provo, UT 84604-3344 | 2011-08-19 |
| 1417241704 | Ihc Health Services Inc | Psychiatry & Neurology | 1055 N 300 W, Ste 501, Provo, UT 84604-3344 | 2011-06-03 |
| 1134435837 | George C Gourley, Do | Obstetrics & Gynecology | 1055 N 300 W, Suite 305, Provo, UT 84604-3344 | 2010-08-19 |
| 1972818185 | Joseph Evans Dansie | Audiologist | 1055 N 300 W, Suite 401, Provo, UT 84604-3344 | 2010-08-11 |
| 1336465566 | Jeffrey Paul Gardiner | Ophthalmology | 1055 N 300 W, Suite 204, Provo, UT 84604-3344 | 2010-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| 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 |
|---|---|---|---|---|
| 1871958892 | David Zachary Rittenhouse | Pharmacist | 1015 N 1550 W, Provo, UT 84604-3014 | 2015-12-17 |
| 1346676046 | Edward Matterfis | Pharmacist | 1165 S University Ave, Provo, UT 84601-5954 | 2013-09-25 |
| 1154698843 | David D'layne James | Pharmacist | 1215 N State Street, Provo, UT 84604 | 2011-11-23 |
| 1427335603 | Travis D Guymon | Pharmacist | 395 W Bulldog Blvd Ste 204, Provo, UT 84604 | 2011-11-15 |
| 1447566476 | Nathan Bullock | Pharmacist | 1324 N State St, Provo, UT 84604-2419 | 2010-08-27 |
| 1114129657 | Deann Cole | Pharmacist | 560 W Center Street, Albertson Savon Pharmacy, Provo, UT 84601 | 2007-06-05 |
| 1467660399 | Kristie A Fitzgerald | Pharmacist | Utah Valley Regional Medical Center, 1034 North 500 West, Provo, UT 84604-3305 | 2007-05-21 |
| 1205959566 | Brent Sterling Argyle | Pharmacist | 500 West 1230 North, Provo, UT 84601 | 2007-04-09 |
| 1851440879 | Craig S Swenson | Pharmacist | 1750 North Wymount Terrace Drive, Provo, UT 84602 | 2007-01-09 |
| 1346282951 | Rock Canyon Pharmacy LLC | Pharmacist | 3179 N Canyon Rd, Provo, UT 84604-3916 | 2006-06-11 |
| Find all providers in PROVO | ||||
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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.