DR. STACY BOCK (NPI# 1669759734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669759734 |
| Entity Type | Individual |
| Full Name | DR. STACY BOCK |
| Credential | PHARMD |
| Practice Address |
5 River Walk Mall South Charleston WV 25303-1026 |
| Practice Telephone | 3047445128 |
| Practice Fax Number | 3047449522 |
| Mailing Telephone | 3047445128 |
| Mailing Fax Number | 3047449522 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 03227959 | OH | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP0007750 | WV | Pharmacy Service Providers |
| Street Address |
5 RIVER WALK MALL |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25303-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720573603 | Lan Ngoc Le | Pharmacist | 5 River Walk Mall, South Charleston, WV 25303-1026 | 2018-06-25 |
| 1528361722 | Christy Anne Stewart | Pharmacist | 5 River Walk Mall, South Charleston, WV 25303-1026 | 2010-12-09 |
| 1821391079 | Wendy A Fisher | Pharmacist | 5 River Walk Mall, South Charleston, WV 25303-1026 | 2010-12-09 |
| 1649573841 | Stacy Ann Walls | Pharmacist | 5 River Walk Mall, South Charleston, WV 25303-1026 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588009 | Shirley Ann Womack | Technician | 131 6th Ave. Apt.#305, South Charleston, WV 25303 | 2020-11-04 |
| 1407350713 | Special Touch Nursing Services, Inc. | In Home Supportive Care | 325 4th Ave Ste 1, South Charleston, WV 25303 | 2018-03-21 |
| 1003213471 | Neveah Health & Wellness Center, Pllc | Family Medicine | 538 3rd Avenue, South Charleston, WV 25303 | 2014-12-01 |
| 1760810444 | Martin, Dds Pllc | Dentist | 140 7th Ave, South Charlestown, WV 25303 | 2013-10-16 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| 1093937633 | Loved Ones In Home Care | Home Health | 144 7th Ave, South Charleston, WV 25303 | 2007-05-03 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1699864793 | Debora Lynn Wells | Counselor | 1418a Maccorkle Avenue Sw, Charleston, WV 25303 | 2006-10-12 |
| 1457443830 | Special Touch Nursing Services, Inc. | Home Health | 325 Fourth Ave, Suite #1, South Charleston, WV 25303 | 2006-09-29 |
| 1275625964 | Bryan Scott Eder | Dentist | 71 Maccorkle Ave Sw, South Charleston, WV 25303 | 2006-09-29 |
| Find all providers in zip 25303 | ||||
| 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 |
|---|---|---|---|---|
| 1033425509 | John Scott Paul | Pharmacist | 333 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2010-08-23 |
| 1407186612 | Richard Paul Boyd | Pharmacist | 127 S. Chillicothe St, South Charleston, OH 45368 | 2010-01-11 |
| 1144215658 | Twila Diane Boyd | Pharmacist | 127 S Chillicothe St, South Charleston, OH 45368-9786 | 2005-09-12 |
| 1508466525 | Allyssa Niccole Bradford | Pharmacist | 2700 Mountaineer Blvd, South Charleston, WV 25309-9442 | 2020-10-28 |
| 1538768924 | Michel G Haikal | Pharmacist | 2500 Mountaineer Blvd, South Charleston, WV 25309-9438 | 2020-10-18 |
| 1396358313 | Grant Crawford Henck | Pharmacist | 333 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2020-08-28 |
| 1225640915 | Brittany Elizabeth Pickens | Pharmacist | 333 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2020-08-23 |
| 1275018889 | Tiffany Amber Franco | Pharmacist | 5151 Maccorkle Ave Sw, South Charleston, WV 25309-1109 | 2018-09-28 |
| 1124506811 | Joshua Pickens | Pharmacist | 333 Maccorkle Ave Sw, South Charleston, WV 25303-1263 | 2018-08-03 |
| 1720573603 | Lan Ngoc Le | Pharmacist | 5 River Walk Mall, South Charleston, WV 25303-1026 | 2018-06-25 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25303 |
Please comment or provide details below to improve the information on DR. STACY BOCK.
| 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.