JAMIE PROKUP (NPI# 1841597358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841597358 |
| Entity Type | Individual |
| Full Name | JAMIE PROKUP |
| Practice Address |
29936 July Rd La Plata MO 63549-3129 |
| Practice Telephone | 6603324456 |
| Mailing Telephone | 6603324456 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 042461 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600133003 | 05 |
| Street Address |
29936 JULY RD |
| City | LA PLATA |
| State | MO |
| Zip Code | 63549-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023154168 | Laplata Pharmacy | Pharmacy | 29936 July Rd, La Plata, MO 63549-3129 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629088406 | James Furman | Chiropractor | 115 South Gex Street, Box 26, La Plata, MO 63549-0026 | 2006-08-08 |
| 1447476213 | La Plata R-ii Schools | Physical Therapist | 201 W Moore St, La Plata, MO 63549-1115 | 2007-04-18 |
| 1134359433 | Amanda Leigh Fitzpatrick | Dentist | 119 W Sanders St, La Plata, MO 63549-1166 | 2009-07-21 |
| 1881662724 | John T. Sylvara | Family Medicine | 201 S Gex St, La Plata, MO 63549-1243 | 2006-03-08 |
| 1356338941 | La Plata Nursing Home District | Skilled Nursing Facility | 100 Old Stagecoach Rd, La Plata, MO 63549-1362 | 2005-09-29 |
| 1306250279 | Travis James Brown | Nurse Practitioner | 29934 July Rd, La Plata, MO 63549-3129 | 2014-06-18 |
| 1154851228 | Hannibal Regional Healthcare System, Inc | Clinic/Center | 29934 July Rd, La Plata, MO 63549-3129 | 2017-06-12 |
| 1932379468 | George A. Pipes | Family Medicine | 14982 Old Highway 63, La Plata, MO 63549-4009 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219739 | Jennifer Blansett | Pediatrics | 103 Centennial St Ste C, La Plata, MD 20646-5985 | 2020-09-09 |
| 1295347649 | Ati Holding LLC | Occupational Therapist | 212 Rosewick Rd, La Plata, MD 20646-4216 | 2020-08-18 |
| 1679181515 | Angelica Batts | Counselor | 9375 Chesapeake St Ste 219, La Plata, MD 20646-3654 | 2020-07-16 |
| 1275159154 | Reconnect Transportation Services LLC | Non-emergency Medical Transport (VAN) | 11501 Highland Farm Ct, La Plata, MD 20646-3301 | 2020-06-17 |
| 1881221265 | Tolulope Aramide Oguntomi | Nurse Practitioner | 1 Saint Marys Ave Ste 101, La Plata, MD 20646-4037 | 2020-03-25 |
| 1649806514 | Lesley Phillips Rorick | Nurse Practitioner | 115a La Grange Ave Ste 101, La Plata, MD 20646-9592 | 2020-03-23 |
| 1861026429 | Devon J Hudson | Behavior Technician | 1009 Canterbury Ln, La Plata, MD 20646-3567 | 2020-02-23 |
| 1437799533 | Ann Patricia Inniss | Counselor | 816 Washington Ave, La Plata, MD 20646-9470 | 2020-01-07 |
| 1790324960 | Samuel Sulaiman Koroma | Nurse Practitioner | 1 Saint Marys Ave, La Plata, MD 20646-4037 | 2020-01-05 |
| 1689212151 | Civista Clinical Services, LLC | Clinic/Center | 5 N La Plata Ct Ste 201, La Plata, MD 20646-5208 | 2019-12-16 |
| Find all providers in LA PLATA | ||||
| 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 |
|---|---|---|---|---|
| 1174834089 | Awet Tewolde Gebregziabher | Pharmacist | 55 Drury Dr, La Plata, MD 20646-5203 | 2010-06-24 |
| 1831799725 | Monique Alicia Daniel | Pharmacist | 40 Drury Dr, La Plata, MD 20646-4220 | 2020-10-29 |
| 1538773585 | Edwina Zoedua | Pharmacist | 60 Shining Willow Way, La Plata, MD 20646-4224 | 2020-09-06 |
| 1003420480 | Valentine Neba | Pharmacist | 6300 Crain Hwy, La Plata, MD 20646-4259 | 2020-09-03 |
| 1124631346 | Consollar Leeds Azenui | Pharmacist | 60 Shining Willow Way, La Plata, MD 20646-4224 | 2020-08-27 |
| 1376155713 | Jairus Laquinten Turk | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2020-08-18 |
| 1295384451 | Ryan Elise Cheatham-jackson | Pharmacist | 60 Shining Willow Way, La Plata, MD 20646-4224 | 2019-09-10 |
| 1316453145 | Mira Aziz | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2017-12-15 |
| 1891211819 | Jasmine Elise Patterson | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2017-08-22 |
| 1447633409 | Uchechukwu Janet Eyisi | Pharmacist | 6260 Crain Hwy, La Plata, MD 20646-4258 | 2015-07-08 |
| Find all providers in LA PLATA | ||||
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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.