MS. CARLA MARY DOHERTY (NPI# 1801353214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801353214 |
| Entity Type | Individual |
| Full Name | MS. CARLA MARY DOHERTY |
| Credential | RPH |
| Practice Address |
216 Spring Oaks Dr Ballwin MO 63011-3836 |
| Practice Telephone | 3149528020 |
| Mailing Telephone | 3149528020 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
042438 | MO | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 785 Henry Ave, Ballwin, MO 630112736 | 6365275700 |
| Street Address |
216 SPRING OAKS DR |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220406 | Catherine Alane Stamm | Pharmacist | 221 Buzzard Rock Rd, Farmington, MO 63640-9703 | 2020-06-20 |
| 1003327537 | Missouri Ltc Pharmacy LLC | Pharmacist | 6129 West Us Highway 60, Brookline, MO 65619 | 2017-10-24 |
| 1730620584 | Leah Gregory | Pharmacist | 501 Hidden Creek Dr, Ozark, MO 65721-4230 | 2017-03-13 |
| 1194087478 | Richard Grandville Michael | Pharmacist | 1311 Woodcastle Rd, Nixa, MO 65714-7183 | 2012-06-12 |
| 1891810636 | Ken Applegate | Pharmacist | 453 E. 111th St., Kansas City, MO 64131 | 2007-03-20 |
| 1750413746 | Shawn Lorene Schieber | Pharmacist | 453 E Red Bridge Rd, Kansas City, MO 64131-4038 | 2007-03-12 |
| 1386793388 | Janene Rae Verrant | Pharmacist | 269 Le Beau Ln, Saint Charles, MO 63303-4212 | 2007-01-09 |
| 1174162556 | Alexandra Rozman-o'neill | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-01-02 |
| 1447640974 | Robin Miller | Pharmacist | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2015-02-04 |
| 1912246604 | Donette A Gillespie | Pharmacist | 530 Mid Rivers Mall Dr, Saint Peters, MO 63376-2150 | 2013-01-31 |
| 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.