DR. KRISTEN ANN KOMAIKO (NPI# 1699104463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699104463 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN ANN KOMAIKO |
| Credential | PHARMD |
| Practice Address |
808 E Wakefield Ave Sikeston MO 63801-5147 |
| Mailing Address |
901 E Cypress St Charleston MO 63834-1308 |
| Practice Telephone | 5734711930 |
| Mailing Telephone | 7087320297 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
2013030043 | MO | Pharmacy Service Providers |
| Street Address |
808 E WAKEFIELD AVE |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569065 | Sandra T Bollinger | Pharmacist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2005-09-21 |
| 1811493547 | Adam Duncan | Pharmacist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2018-04-02 |
| 1386149417 | Chase Deason | Pharmacist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2018-03-29 |
| 1487895561 | Health Priorities, Inc. | Pharmacy | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2009-03-18 |
| 1619145612 | Family Medicine of Southeast Missouri, LLC | Clinic/Center | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2008-02-13 |
| 1831377522 | Logan & Seiler Inc | Durable Medical Equipment & Medical Supplies | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2008-02-05 |
| 1841476348 | Leo A. Bruce | Optometrist | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2008-01-14 |
| 1881873800 | Logan & Seiler Inc | Durable Medical Equipment & Medical Supplies | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2007-10-26 |
| 1861512576 | Jeffrey Lee Nagle | Chiropractor | 808 E Wakefield Ave, Suite A, Sikeston, MO 63801-5147 | 2007-03-29 |
| 1558414896 | Nagle Chiropractic Center, P.C. | Chiropractor | 808 E Wakefield Ave, Suite A, Sikeston, MO 63801-5147 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1538647250 | Brian D Davis | Pharmacist | 600 Winding Oaks Pl, Ballwin, MO 63021-7379 | 2018-08-03 |
| 1144718313 | Eddy Airiohuodion | Pharmacist | 8629 E Utopia Pkwy Apt 11, Raytown, MO 64138-5307 | 2018-04-24 |
| 1770085987 | Brigid Farrar | Pharmacist | 440 E Tampa St # 100, Springfield, MO 65806-1131 | 2018-03-03 |
| 1104347277 | Blake William Baumann | Pharmacist | 2301 Homes St, Kansas City, MO 64108 | 2017-06-29 |
| 1497280523 | Scott Strassels | Pharmacist | 8002 Davis Dr, Clayton, MO 63105-2529 | 2017-04-26 |
| 1942682604 | Shane Austin | Pharmacist | 8660 Old Bonhomme Rd Apt B, Saint Louis, MO 63132-3936 | 2015-06-18 |
| 1255735015 | Surendra R Patel | Pharmacist | 333 Solar Terrace Ct, Chesterfield, MO 63017-2499 | 2014-10-22 |
| 1093131500 | Chessa Nyberg | Pharmacist | 410 E Porte Cimi Pas St, Kansas City, MO 64131-2922 | 2014-03-07 |
| 1063833127 | Brent Tackitt | Pharmacist | 1768 Winding Glen Dr, Saint Charles, MO 63303-5099 | 2013-12-16 |
| Find all providers with the same taxonomy | ||||
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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.