DR. LAKEN NICOLE BROCK (NPI# 1811496334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811496334 |
| Entity Type | Individual |
| Full Name | DR. LAKEN NICOLE BROCK |
| Credential | PHARMD |
| Practice Address |
719 S Neosho Blvd Neosho MO 64850 |
| Practice Telephone | 4174519501 |
| Mailing Telephone | 4174519501 |
| Mailing Fax Number | 4174519594 |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2018-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2017026250 | MO | Pharmacy Service Providers |
| Street Address |
719 S NEOSHO BLVD |
| City | NEOSHO |
| State | MO |
| Zip Code | 64850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578669701 | Tim Mitchell Medical, Inc | Durable Medical Equipment & Medical Supplies | 719 S Neosho Blvd, Ste A, Neosho, MO 64850 | 2006-09-15 |
| 1124471495 | Krystal Frossard | Pharmacist | 719 S Neosho Blvd, Neosho, MO 64850-2051 | 2016-07-21 |
| 1588936371 | Bioethics Solutions, Inc. | Pharmacy | 719 S Neosho Blvd, Suite B, Neosho, MO 64850-2051 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720526072 | Jamie Emery | Behavioral Analyst | 180 Cemetery Rd, Neosho, MO 64850 | 2017-02-07 |
| 1558809889 | Johnna Burton | Assistant Behavior Analyst | 180 Cemetery Rd., Neosho, MO 64850 | 2017-02-07 |
| 1013368984 | Ozark Tri County Healthcare Consortium | Dentist | 516 W Mccord, Neosho, MO 64850 | 2016-06-22 |
| 1740654615 | Rachel Leah Morrison | Counselor | 3370 Lusk Drive, Neosho, MO 64850 | 2015-11-16 |
| 1417333881 | Spandana Mukka | Dentist | 2040 Laquesta Drive, Neosho, MO 64850 | 2015-08-07 |
| 1548652225 | Darrell W Hedrick Dds LLC | Clinic/Center | 2001 Laquesta Drive, Neosho, MO 64850 | 2015-03-04 |
| 1992119895 | Junior College District of Newton & Mcdonald Co | Social Worker | 180 Cementary Rd, Neosho, MO 64850 | 2014-06-18 |
| 1043539653 | Richard Joseph Betz | Internal Medicine | 20695 Owl Road, Neosho, MO 64850 | 2010-05-21 |
| 1356599641 | Neosho Bone & Joint Clinic P.C. | Specialist | 4040 Laquesta Drive, Neosho, MO 64850 | 2008-08-29 |
| 1477648764 | Timothy G Mitchell | Pharmacist | 1000 S Neosho Blvd, Neosho, MO 64850 | 2006-10-04 |
| Find all providers in zip 64850 | ||||
| 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 |
|---|---|---|---|---|
| 1477648764 | Timothy G Mitchell | Pharmacist | 1000 S Neosho Blvd, Neosho, MO 64850 | 2006-10-04 |
| 1932119880 | Michael Christopher Smith | Pharmacist | 1504 N Business 71, Neosho, MO 64850-1975 | 2006-08-09 |
| 1174526842 | Brenna Jean Neumann | Pharmacist | 1009 S Neosho Blvd, Neosho, MO 64850-2008 | 2005-05-24 |
| 1275146334 | Stanley Brent Marion Jr. | Pharmacist | 880 S Neosho Blvd, Neosho, MO 64850-2052 | 2020-08-28 |
| 1104438936 | Brice Reynolds | Pharmacist | 880 S Neosho Blvd, Neosho, MO 64850-2052 | 2020-08-22 |
| 1881183267 | Elizabeth Ann Foster | Pharmacist | 3200 Lusk Dr, Neosho, MO 64850-2028 | 2018-05-01 |
| 1124471495 | Krystal Frossard | Pharmacist | 719 S Neosho Blvd, Neosho, MO 64850-2051 | 2016-07-21 |
| 1720456114 | Jane Massey | Pharmacist | 1000 S Neosho Blvd, Neosho, MO 64850-2007 | 2015-09-02 |
| 1518335900 | Karmen Wehrhan | Pharmacist | 1000 S Neosho Blvd, Neosho, MO 64850-2007 | 2015-09-02 |
| 1114276649 | Ryan Andrew Shoemake | Pharmacist | 880 S Neosho Blvd, Neosho, MO 64850 | 2012-08-30 |
| Find all providers in NEOSHO | ||||
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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.