RUTH A STEWART (NPI# 1881616472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881616472 |
| Entity Type | Organization |
| Organization Name | RUTH A STEWART |
| Other Organization Name | KELSEYVILLE PHARMACY |
| Practice Address |
3720 Main St Kelseyville CA 95451-7420 |
| Mailing Address |
Po Box 727 Kelseyville CA 95451-0727 |
| Practice Telephone | 7072791561 |
| Practice Fax Number | 7072791000 |
| Mailing Telephone | 7072791561 |
| Mailing Fax Number | 7072791000 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | RUTH STEWART (OWNER) |
| Authorized Official Telephone | 7072791561 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46140 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1996034 | 01 | |
| CA | PHA461400 | 05 |
| Other Name | Type Code |
|---|---|
| KELSEYVILLE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306156096 | Ruth A Stewart | Pharmacy | 18990 Coyote Valley Rd Ste 2, Hidden Valley Lake, CA 95467-8339 | 2010-10-14 |
| Street Address |
3720 MAIN ST |
| City | KELSEYVILLE |
| State | CA |
| Zip Code | 95451-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487705315 | Carol A. Richards Psyd. | Local Education Agency (LEA) | 3970 Main St., Suite 4, Kelseyville, CA 95451 | 2007-01-16 |
| 1316972425 | Paula R Dhanda | Obstetrics & Gynecology | 5685 Main Street, Kelseyville, CA 95451 | 2006-07-11 |
| 1407812019 | Bradley James Smith | Physical Therapist | 5289 State St, Kelseyville, CA 95451 | 2006-04-22 |
| 1851853691 | Pearly Pearly Karunakaran | Dietitian, Registered | 1995 Eastlake Dr, Kelseyville, CA 95451-7012 | 2019-04-02 |
| 1548796055 | Michelle Kay Givens | Physical Therapist | 2718 Greenway Dr, Kelseyville, CA 95451-7028 | 2017-05-03 |
| 1902977044 | Advocates for Independent Living | Intermediate Care Facility, Mentally Retarded | 4795 Gaddy Ln, Kelseyville, CA 95451-7407 | 2006-11-12 |
| 1346246261 | Kelseyville Fire Protection District | Ambulance | 4020 Main St, Kelseyville, CA 95451-7410 | 2005-06-24 |
| 1174740898 | Levi Samuel Palmer | Dentist | 7275 Adobe Creek Dr, Kelseyville, CA 95451-8008 | 2007-04-20 |
| 1790181816 | Erin Bennett | Registered Nurse | 9320 Kelsey Creek Dr, Kelseyville, CA 95451-8031 | 2014-11-17 |
| 1821013764 | Olga Segal | Psychiatry & Neurology | 3455 Westridge Dr, Kelseyville, CA 95451-8227 | 2006-07-13 |
| Find all providers in zip 95451 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| Find all providers with the same taxonomy | ||||
| City | KELSEYVILLE |
| Zip Code | 95451 |
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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.