MARINENA BONDURANT (NPI# 1720123169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720123169 |
| Entity Type | Individual |
| Full Name | MARINENA BONDURANT |
| Credential | R.PH. |
| Practice Address |
2755 W Park Dr Paducah KY 42001-9058 |
| Mailing Address |
707 Coventry Trl Paducah KY 42003-1218 |
| Practice Telephone | 2704430909 |
| Mailing Telephone | 2708984278 |
| Enumeration Date | 2007-02-21 |
| 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 | 007952 | KY | Pharmacy Service Providers |
| Street Address |
2755 W PARK DR |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-9058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940885 | West Towne Pharmacy Inc | Pharmacy | 2755 W Park Dr, Paducah, KY 42001-9058 | 2005-05-27 |
| 1538767835 | Resilient Rx, LLC | Pharmacy | 2755 W Park Dr, Paducah, KY 42001-9058 | 2020-10-09 |
| 1639571854 | Grant Mathis | Pharmacist | 2755 W Park Dr, Paducah, KY 42001-9058 | 2014-09-18 |
| 1275723710 | Westowne Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2755 W Park Dr, Paducah, KY 42001-9058 | 2007-07-31 |
| 1629122007 | Robin Taylor Pipkin | Pharmacist | 2755 W Park Dr, Paducah, KY 42001-9058 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| 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 |
|---|---|---|---|---|
| 1083105837 | Mario Hanna | Pharmacist | 3422 Minnich Ave # G, Paducah, KY 42001-4269 | 2018-05-27 |
| 1346563392 | Joel Ralph Pendergraft | Pharmacist | 2440 Lone Oak Rd, Paducah, KY 42001 | 2010-03-04 |
| 1669521167 | Kyle Pitman Katterjohn, Rph | Pharmacist | 1100 Caldwell St, Paducah, KY 42003-2080 | 2007-01-10 |
| 1285614057 | Joel Lynn Southerland | Pharmacist | 538 Lone Oak Rd, Paducah, KY 42003-4538 | 2006-01-18 |
| 1790764942 | Gale M Garner | Pharmacist | 3524 Park Plaza Rd, Paducah, KY 42001-8900 | 2006-01-14 |
| 1023015633 | Anuradha Manchikanti | Pharmacist | 415 Broadway St, Paducah, KY 42001-0713 | 2005-06-29 |
| 1396346078 | Tracy Lee Douglas | Pharmacist | 3220 Irvin Cobb Dr, Paducah, KY 42003-2196 | 2020-11-08 |
| 1871194878 | Brianna Katherine Sullivan | Pharmacist | 5433 Reidland Rd, Paducah, KY 42003-0954 | 2020-11-05 |
| 1558962548 | Tracy Michelle Sullivan | Pharmacist | 5433 Reidland Rd, Paducah, KY 42003-0954 | 2020-11-05 |
| 1659972628 | Marshall W Davis | Pharmacist | 250 Lone Oak Rd, Paducah, KY 42001-4400 | 2020-11-05 |
| Find all providers in PADUCAH | ||||
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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.