KYLE DEAN (NPI# 1629696091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629696091 |
| Entity Type | Individual |
| Full Name | KYLE DEAN |
| Practice Address |
1972 Us Highway 431 Boaz AL 35957-5901 |
| Mailing Address |
124 Wolf Creek Trl Sw Huntsville AL 35824-3506 |
| Practice Telephone | 2565930495 |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2020-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17345 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | STATE PHARMACY LICENSE | 17345 | 01 |
| Street Address |
1972 US HIGHWAY 431 |
| City | BOAZ |
| State | AL |
| Zip Code | 35957-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265450688 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1972 Us Highway 431, Boaz, AL 35957-5901 | 2006-07-17 |
| 1356861306 | Kimberly Dunaway | Pharmacist | 1972 Us Highway 431, Boaz, AL 35957-5901 | 2017-06-21 |
| 1386173912 | Tara Gabrielle Smith | Pharmacist | 1972 Us Highway 431, Boaz, AL 35957-5901 | 2017-06-07 |
| 1659790061 | Ashley J. Newman, Od LLC | Optometrist | 1972 Us Highway 431, Boaz, AL 35957-5901 | 2014-04-14 |
| 1205917226 | Wal-mart Stores East, Lp | Technician/Technologist | 1972 Us Highway 431, Boaz, AL 35957-5901 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639935 | Twindom Counseling Services, LLC | Community/Behavioral Health | 202 Lackey Street, Boaz, AL 35957 | 2020-08-14 |
| 1407464308 | Brittany C Mcclendon | Nurse Practitioner | 2505 Us Hwy. 431, Suite A, Women's Center, Boaz, AL 35957 | 2020-07-16 |
| 1942831169 | Kayleigh Danielle Eller | Student in an Organized Health Care Education/Training Program | 147 Stephans Road, Boaz, AL 35957 | 2020-01-27 |
| 1710443767 | Antallia Shauntell Johnson | Nurse Practitioner | 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957 | 2019-02-14 |
| 1649516659 | Tiffany Brown Butler | Nurse Practitioner | 2505 U.S. Highway 431, Boaz, AL 35957 | 2012-12-19 |
| 1811263270 | Abundant Life Family Chiropractic LLC | Chiropractor | 100 Bel Air St, Boaz, AL 35957 | 2012-03-29 |
| 1659696375 | Rachel Lambert | Pharmacist | 10402 Al Hwy 168, Boaz, AL 35957 | 2010-04-06 |
| 1407028368 | Brenda J Parrish | Nurse Practitioner | 2505highway 431, Boaz, AL 35957 | 2008-03-31 |
| 1942346234 | Candi Denise Blackwell | Nurse Anesthetist, Certified Registered | 2055 Us Hwy 431, Boaz, AL 35957 | 2007-01-30 |
| 1558418426 | Gideon P Ewing | Internal Medicine | 2505 Highway 431, Boaz, AL 35957 | 2007-01-04 |
| Find all providers in zip 35957 | ||||
| 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 |
|---|---|---|---|---|
| 1205194768 | Elliott A Duvall | Pharmacist | 10460 Al Highway 168, Suite #1, Boaz, AL 35957-1951 | 2012-05-02 |
| 1659696375 | Rachel Lambert | Pharmacist | 10402 Al Hwy 168, Boaz, AL 35957 | 2010-04-06 |
| 1962727677 | Cary Dale Johnson | Pharmacist | 10402 Al Highway 168, Boaz, AL 35957-1951 | 2010-04-06 |
| 1629140652 | Jeffrey Clay Roberts | Pharmacist | 10639 Alabama Highway 168, Boaz, AL 35957 | 2006-11-14 |
| 1356861306 | Kimberly Dunaway | Pharmacist | 1972 Us Highway 431, Boaz, AL 35957-5901 | 2017-06-21 |
| 1386173912 | Tara Gabrielle Smith | Pharmacist | 1972 Us Highway 431, Boaz, AL 35957-5901 | 2017-06-07 |
| 1366984221 | David Michael Robbins | Pharmacist | 10460 Al Highway 168, Suite 1, Boaz, AL 35957-1951 | 2016-11-09 |
| 1982094736 | Patrick Phillips | Pharmacist | 10639 Al Highway 168, Boaz, AL 35957-1955 | 2015-02-02 |
| 1174807887 | Robert Miller Rosser | Pharmacist | 920 Us Highway 431, Boaz, AL 35957-1732 | 2011-09-30 |
| 1437474160 | Anna J Morton | Pharmacist | 10402 Al Hwy 168, Boaz, AL 35957 | 2010-04-06 |
| Find all providers in BOAZ | ||||
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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.