DR. JACQUIE ROTH (NPI# 1700895687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700895687 |
| Entity Type | Individual |
| Full Name | DR. JACQUIE ROTH |
| Practice Address |
Highway 34 & 47 Fort Thompson SD 57339 |
| Mailing Address |
Po Box 200 Highway 34 & 47 Fort Thompson SD 57339 |
| Practice Telephone | 6052451503 |
| Mailing Telephone | 6052451503 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5138 | SD | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | STATE LICENSE (PHARMACY) | 5138 | 01 |
| Street Address |
HIGHWAY 34 & 47 |
| City | FORT THOMPSON |
| State | SD |
| Zip Code | 57339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124043393 | Mark Allen Karzon | Social Worker | Highway 34 & 47, Fort Thompson, SD 57339-0200 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850862 | Kimberli Mae Hastings | Registered Nurse | 125 Sd Hwy 246, Fort Thompson, SD 57339 | 2019-09-12 |
| 1225411945 | Horizon Health Care Inc | Clinic/Center | 125 Sd Hwy 249, Fort Thompson, SD 57339 | 2015-06-30 |
| 1902286081 | Stephanie Feltman | Nurse Practitioner | 1323 Bia Rd 20, Fort Thompson, SD 57339 | 2015-06-04 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1952706921 | Denis Lamonte Jones | Dentist | Denis I. Jones Dds, Phs Indian Health Center, Fort Thompson, SD 57339 | 2014-11-03 |
| 1932523644 | Ft Thompson Health Center | Clinic/Center | 1323 Bia Rte #4, Ft. Thompson, SD 57339 | 2014-02-17 |
| 1720402498 | Ft Thompson Ihs Health Center | Clinic/Center | 1323 Bia Rte 4, Ft Thompson, SD 57339 | 2014-02-14 |
| 1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
| 1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
| 1154480390 | Cynthia Shirley Wall | Pharmacist | Hwy 47 and 34, Ft. Thompson, SD 57339 | 2006-12-06 |
| Find all providers in zip 57339 | ||||
| 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 |
|---|---|---|---|---|
| 1912453622 | Kyle Weiss | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339-0200 | 2016-09-01 |
| 1518315977 | Christina Marie Odens | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2016-05-26 |
| 1083050546 | David Alan Zimbrick | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339-0000 | 2013-05-10 |
| 1790002582 | Michelle Duana Tuohy | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339-0200 | 2010-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537238 | Brant Haase | Pharmacist | 406 N 2nd St, Aberdeen, SD 57401-2707 | 2020-10-28 |
| 1003429713 | Jennifer Bergan | Pharmacist | 4509 S Prince of Peace Pl, Sioux Falls, SD 57103-5830 | 2020-08-24 |
| 1497365407 | Lacey Michoen Williamson | Pharmacist | 900 S Allen Ave, Colman, SD 57017-2027 | 2020-08-04 |
| 1710504188 | Adam O Zayed | Pharmacist | 1000 Health Ctr Rd, Kyle, Sd 57752, Kyle, SD 57752 | 2020-07-01 |
| 1891317590 | Darren Kueter | Pharmacist | 304 W Sd Highway 38 Ste 102, Hartford, SD 57033-2252 | 2020-05-15 |
| 1598327827 | Lucy Manu | Pharmacist | 24276 166th Street; Airport Road, Eagle Butte, SD 57625 | 2019-07-08 |
| 1265995823 | Quentin Clifford Bury | Pharmacist | 1409 6th Ave Se Ste 2, Aberdeen, SD 57401-4950 | 2019-04-10 |
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1144715830 | Keaton Mark Moffitt | Pharmacist | 708 S Riverward Dr, Sioux Falls, SD 57106-4604 | 2018-06-26 |
| 1407340540 | Emma Younie | Pharmacist | 515 N Pine St, Lennox, SD 57039-2188 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT THOMPSON |
| Zip Code | 57339 |
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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.