MARISSA MARCINEK BOELHAUF (NPI# 1821353236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821353236 |
| Entity Type | Individual |
| Full Name | MARISSA MARCINEK BOELHAUF |
| Credential | PHARM.D. |
| Practice Address |
3349 Tates Creek Rd Lexington KY 40502-3467 |
| Mailing Address |
568 Folkstone Dr Lexington KY 40517-4214 |
| Practice Telephone | 8592660413 |
| Mailing Telephone | 8596195439 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 015462 | KY | Pharmacy Service Providers |
| Street Address |
3349 TATES CREEK RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477610327 | Clifford Patric Tsuboi | Pharmacist | 3349 Tates Creek Rd, Lansdowne Shopping Center, Lexington, KY 40502-3467 | 2007-01-02 |
| 1598288938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3349 Tates Creek Rd, Lexington, KY 40502-3467 | 2017-07-18 |
| 1831489822 | Deborah Susan Smith | Pharmacist | 3349 Tates Creek Rd, Lansdowne Shopping Center, Lexington, KY 40502-3467 | 2011-04-12 |
| 1548470875 | Susan Richard Tegtmeier | Pharmacist | 3349 Tates Creek Rd, Lexington, KY 40502-3467 | 2007-05-23 |
| 1528183506 | David M Cash | Dentist | 3349 Tates Creek Rd, Suite 212, Lexington, KY 40502-3467 | 2007-03-20 |
| 1609911700 | Leslie C. Horn, Dmd, Psc | Dentist | 3349 Tates Creek Rd, Suite 208, Lexington, KY 40502-3467 | 2007-02-20 |
| 1396882270 | Leslie C. Horn | Dentist | 3349 Tates Creek Rd, Suite 208, Lexington, KY 40502-3467 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| Find all providers in zip 40502 | ||||
| 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 |
|---|---|---|---|---|
| 1063013571 | Andrew William Peters | Pharmacist | 301 Castor Rd Apt 104, Lexington, OH 44904-8745 | 2020-11-03 |
| 1689285033 | Breanna Danielle Ardis | Pharmacist | 2418 Augusta Hwy, Lexington, SC 29072-2216 | 2020-08-10 |
| 1437772530 | Dhrutiben Pareshbhai Patel | Pharmacist | 104 Scarborough Dr Ste C, Lexington, SC 29072-1922 | 2020-05-22 |
| 1205455987 | Michael David Deluca | Pharmacist | 3908 Laurel Oak Ln, Lexington, KY 40514-1732 | 2020-04-13 |
| 1437787561 | Dorothy Riechter | Pharmacist | 2195 Harrodsburg Rd Rm T1636, Lexington, KY 40504-3516 | 2020-04-01 |
| 1215565817 | Nancy Hudson | Pharmacist | 800 Rose Street Room 110, Lexington, KY 40546-0001 | 2020-03-30 |
| 1720611791 | Patience Nave Fort | Pharmacist | Chandler Retail Pharmacy 1000 S Limestone Room A.01.114, Lexington, KY 40536-0001 | 2020-02-19 |
| 1669012233 | William Todd Adams | Pharmacist | 399 Waller Ave Ste 110, Lexington, KY 40504-2910 | 2020-01-13 |
| 1043859069 | Von Hiten | Pharmacist | 740 South Limestone J134, Lexington, KY 40536-0001 | 2019-12-23 |
| 1790339661 | Anthony Tagavi | Pharmacist | 740 South Limestone St K-135, Lexington, KY 40536-0284 | 2019-07-30 |
| Find all providers in LEXINGTON | ||||
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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.