MRS. IVY ANN DESIREE LEE SHARPE (NPI# 1790848851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790848851 |
| Entity Type | Individual |
| Full Name | MRS. IVY ANN DESIREE LEE SHARPE |
| Other Name | MRS. IVY ANN DESIREE CASE |
| Credential | RPH |
| Practice Address |
5471 Dr Martin Luther King Drive St Louis MO 63112-4265 |
| Practice Telephone | 3143675820 |
| Practice Fax Number | 3143677010 |
| Mailing Telephone | 3143675820 |
| Mailing Fax Number | 3143677010 |
| Enumeration Date | 2006-12-19 |
| 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 | 029980 | MO | Pharmacy Service Providers |
| Street Address |
5471 DR MARTIN LUTHER KING DRIVE |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63112-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093791790 | Kamilah Rashi Adams | Registered Nurse | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2005-12-15 |
| 1932395381 | Dolores Jeannine Anderson | Licensed Practical Nurse | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2007-09-19 |
| 1669692729 | Lakeisha Jeanece Staton | Licensed Practical Nurse | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2007-04-30 |
| 1437273190 | Curtis A Young | Pharmacist | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2007-03-19 |
| 1245372499 | Carestl Health | Clinical Medical Laboratory | 5471 Dr Martin Luther King Drive, St Louis, MO 63112 | 2007-02-13 |
| 1730233826 | Frances Marie Dickerson | Nurse Practitioner | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2007-01-23 |
| 1760536288 | Barbara Jean Mullins | Licensed Practical Nurse | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2007-01-22 |
| 1124172655 | Sheryl Ladonna Matlock | Licensed Practical Nurse | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2007-01-22 |
| 1437212743 | Uzo M Chukwuanu | Registered Nurse | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2006-12-18 |
| 1942382544 | Aravindaksha P Menon | Pediatrics | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2006-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| 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 |
|---|---|---|---|---|
| 1720515729 | Rachel Hartman | Pharmacist | 115a N Euclid, St Louis, MO 63108 | 2017-05-22 |
| 1508274135 | Dan White | Pharmacist | 4700 North Hanley Rd, Suite A, St Louis, MO 63368 | 2014-07-28 |
| 1467799072 | Angela M Reed | Pharmacist | 115 A N Euclid, St Louis, MO 63108 | 2013-01-16 |
| 1770538399 | Blair G Balk | Pharmacist | 1 Childrens Place, St Louis, MO 63110 | 2006-05-23 |
| 1487617023 | Asma F Raza | Pharmacist | 915 N Grand Ave., 119 Jc, St Louis, MO 63106 | 2006-04-06 |
| 1528042181 | Barbara Jean Faber | Pharmacist | 1035 Bellevue Avenue, St Louis, MO 63117 | 2005-12-06 |
| 1760082507 | Richard M Miller | Pharmacist | 4512 Lemay Ferry Rd, St Louis, MO 63129 | 2020-10-30 |
| 1437273190 | Curtis A Young | Pharmacist | 5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902777 | Kimberly Rachelle Troha | Pharmacist | 605 S Jewel Ct, Nixa, MO 65714-7590 | 2020-11-06 |
| 1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
| 1386245108 | Stephanie Mummert | Pharmacist | 404 Nw Highcliffe Dr, Lees Summit, MO 64081-2061 | 2020-11-06 |
| 1023619038 | William Molenaar | Pharmacist | 18401 State Hwy 13, Branson West, MO 65737 | 2020-11-05 |
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1457952624 | Brian Gregory Young | Pharmacist | 185 St.robert Blvd, St. Robert, MO 65584-6558 | 2020-11-04 |
| 1013518224 | Brian James Voss | Pharmacist | 512 Deer Pointe Ct, Fenton, MO 63026-3061 | 2020-11-04 |
| 1730780917 | Amy Benson | Pharmacist | 5100 N Towne Centre Dr, Ozark, MO 65721-7479 | 2020-11-04 |
| 1952902355 | Aaron Kate Menley | Pharmacist | 2025 West Business Highway 60, Dexter, MO 63841-6384 | 2020-11-03 |
| 1447851043 | Elizabeth Ahrens | Pharmacist | 625 Sw Us Highway 40, Blue Springs, MO 64014-3232 | 2020-11-02 |
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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.