GRACE H BALTENBERGER (NPI# 1871193797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871193797 |
| Entity Type | Individual |
| Full Name | GRACE H BALTENBERGER |
| Credential | PHARMD |
| Practice Address |
240 Wal Mart Way Maysville KY 41056-7516 |
| Practice Telephone | 6067595050 |
| Mailing Telephone | 6067595050 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 020775 | KY | Pharmacy Service Providers |
| Street Address |
240 WAL MART WAY |
| City | MAYSVILLE |
| State | KY |
| Zip Code | 41056-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457378770 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 240 Wal Mart Way, Maysville, KY 41056-7516 | 2006-07-16 |
| 1790113041 | Maryann Awosika | Pharmacist | 240 Wal Mart Way, Maysville, KY 41056-7516 | 2013-10-24 |
| 1427289248 | Idowu Oluwaseun Awosika | Optometrist | 240 Wal Mart Way, Ste 5, Maysville, KY 41056-7516 | 2009-07-28 |
| 1942381348 | Wal-mart Stores East, Lp | Technician/Technologist | 240 Wal Mart Way, Maysville, KY 41056-7516 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
| 1700380375 | Tina Kinney | Nurse Practitioner | 420 W Martin Luther King Hwy, Maysville, KY 41056 | 2018-03-20 |
| 1760901227 | Judith I Marks | Home Health Aide | 211 Houston Ave, Maysville, KY 41056 | 2017-09-15 |
| 1205292299 | Mari Campbell | Physical Therapy Assistant | 479 Tucker Drive, Maysville, KY 41056 | 2016-01-07 |
| 1548545353 | Fit 'n' Trim, Ltd | Dietary Manager | 901 Us 68, Suite 200, Maysville, KY 41056 | 2011-10-13 |
| 1194962696 | Susan L Mccoy | Occupational Therapist | 300 Wood St. #231, Maysville, KY 41056 | 2009-01-21 |
| 1033321930 | Mason Co Health Dept. | Public Health or Welfare | 130 East Second Street, Maysville, KY 41056 | 2007-05-04 |
| 1477671428 | Brown & Payne Home Medical Inc | Durable Medical Equipment & Medical Supplies | 13 East 2nd Street, Maysville, KY 41056 | 2007-03-27 |
| 1760522296 | Mason County Schools | Local Education Agency (LEA) | 34 East Second and Limestone Streets, Maysville, KY 41056 | 2007-02-07 |
| 1275687337 | Buffalo Trace Childrens Advocacy Center | Voluntary or Charitable | 224 Limestone Street, Maysville, KY 41056 | 2007-01-23 |
| Find all providers in zip 41056 | ||||
| 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 |
|---|---|---|---|---|
| 1851684773 | James Derek Wheeler | Pharmacist | 1160 Us 68, Maysville, KY 41056-9125 | 2011-05-25 |
| 1023324043 | Larisa Petkeviciene | Pharmacist | 1160 U.s 68, Maysville, KY 41056-9125 | 2010-08-27 |
| 1174652200 | Stacey L Emmons | Pharmacist | 1160 Us Highway 68, Maysville, KY 41056-9125 | 2007-03-05 |
| 1164417739 | Patty Janelle Potts | Pharmacist | 500 Williams St, Jacks Rx, Maysville, OK 73057-9547 | 2005-09-20 |
| 1356960702 | Ryan Patrick Cooper | Pharmacist | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2020-04-15 |
| 1396364477 | Lucia D Owens | Pharmacist | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2020-04-09 |
| 1043848013 | Elizabeth Blair Lykins | Pharmacist | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2020-03-27 |
| 1699128561 | Jacqueline Blair | Pharmacist | 1160 Us Highway 68, Maysville, KY 41056-9125 | 2016-07-15 |
| 1891153144 | Esther L Gilligan | Pharmacist | 381 Market Square Dr, Maysville, KY 41056-8721 | 2016-02-02 |
| 1598123796 | Ellen Moore | Pharmacist | 381 Market Square Dr, Maysville, KY 41056-8721 | 2016-02-02 |
| Find all providers in MAYSVILLE | ||||
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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.