TIFFANY LENZ (NPI# 1720688666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720688666 |
| Entity Type | Individual |
| Full Name | TIFFANY LENZ |
| Credential | PHARMD |
| Practice Address |
2150 Main St Boonville MO 65233-1941 |
| Practice Telephone | 6608826552 |
| Practice Fax Number | 6608826725 |
| Mailing Telephone | 6608826552 |
| Mailing Fax Number | 6608826725 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2014038945 | MO | Pharmacy Service Providers |
| Street Address |
2150 MAIN ST |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305783 | Brad Lee Boerio | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-29 |
| 1588264873 | Sabrina Dawn Simmons | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-27 |
| 1043237365 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2150 Main St, Boonville, MO 65233-1941 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| 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 |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104000850 | Michael Jonathan Kramer | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-18 |
| 1134720071 | Sierra Meier | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-11-06 |
| 1992305783 | Brad Lee Boerio | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-29 |
| 1992305767 | Robyn Smith | Pharmacist | 800 Main St, Boonville, MO 65233-1658 | 2020-10-29 |
| 1245830256 | Eric Wyant | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-10-28 |
| 1588264873 | Sabrina Dawn Simmons | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-27 |
| 1356973895 | Nicole Andrea Spencer | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-02-11 |
| 1003090242 | Michele Van Dreason | Pharmacist | 261 Utica Boulevard, Boonville, NY 13309 | 2007-12-24 |
| 1295919769 | Monica Mazur | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-20 |
| Find all providers in BOONVILLE | ||||
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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.