KOJO SPIO (NPI# 1851833891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851833891 |
| Entity Type | Individual |
| Full Name | KOJO SPIO |
| Practice Address |
1106 Veterans Parkway Clarksville IN 47129 |
| Mailing Address |
1106 Veterans Pkwy Clarksville IN 47129-2370 |
| Practice Telephone | 8122851741 |
| Mailing Telephone | 8122851741 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 018857 | KY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 26026859A | IN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA STATE DRIVER'S LICENSE | 4030078946 | 01 |
| Street Address |
1106 VETERANS PARKWAY |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306096789 | Rite Aid of Indiana Inc | Durable Medical Equipment & Medical Supplies | 1106 Veterans Parkway, Clarksville, IN 47129-0000 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| 1881816320 | Dental Professionals of Indiana, P.C. | Dentist | 1516 Lynch Lane, Ste A, Clarksville, IN 47129 | 2007-05-03 |
| Find all providers in zip 47129 | ||||
| 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 |
|---|---|---|---|---|
| 1780294553 | Widad H Mohammed | Pharmacist | 6383 Ten Oaks Rd, Clarksville, MD 21029-1104 | 2020-08-05 |
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1366918120 | Tbony Marie Jewell | Pharmacist | 588 Fire Station Rd Ste F, Clarksville, TN 37043-4091 | 2018-10-19 |
| 1528589280 | Laura Kaitlyn Thomason | Pharmacist | 2896 Sharpie Dr, Clarksville, TN 37040-9509 | 2017-07-03 |
| 1417320367 | Tae Seung Oh | Pharmacist | 5301 Aerie Ct, Clarksville, MD 21029-1103 | 2015-11-01 |
| 1144610809 | Whitney Dulin | Pharmacist | 2197 Madison St Ste 109, Clarksville, TN 37043-5253 | 2015-02-02 |
| 1811301161 | Elizabeth Okang | Pharmacist | 11809 Chapel Woods Ct, Clarksville, MD 21029-1117 | 2014-06-15 |
| 1396086856 | Chiyon Lee | Pharmacist | 6321 Kerne Ct, Clarksville, MD 21029-1558 | 2013-03-08 |
| 1366707424 | Lopa B Patel | Pharmacist | 7319 Meadow Wood Way, Clarksville, MD 21029-1727 | 2012-07-05 |
| 1063786986 | Kaci Leigh Green | Pharmacist | 510 S Rogers St, Clarksville, AR 72830-3746 | 2012-02-24 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on KOJO SPIO.
| 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.