MR. ROBERT W. OLLE (NPI# 1881695211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881695211 |
| Entity Type | Individual |
| Full Name | MR. ROBERT W. OLLE |
| Practice Address |
103 N. Main Street Moulton TX 77975-0429 |
| Mailing Address |
Po Box 429 Moulton TX 77975-0429 |
| Practice Telephone | 3615964842 |
| Practice Fax Number | 3615964842 |
| Mailing Telephone | 3615964842 |
| Mailing Fax Number | 3615964842 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15794 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 120768 | 05 |
| Street Address |
103 N. MAIN STREET |
| City | MOULTON |
| State | TX |
| Zip Code | 77975-0429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780855627 | Tanee Brooke Colburn | Occupational Therapist | 101 South Lancaster Street, Moulton, TX 77975 | 2008-03-19 |
| 1639205644 | Moulton Isd | Counselor | 400 Bobkat Dr, Moulton, TX 77975 | 2007-02-26 |
| 1780681643 | Shady Oak Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 101 South Lancaster, Moulton, TX 77975-0120 | 2005-07-06 |
| 1902227747 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 101 South Lancaster, Moulton, TX 77975-0120 | 2013-12-20 |
| 1356322127 | Wagner Medical Clinic L.l.p. | Physician Assistant | 100 S Pecan, Moulton, TX 77975-0238 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491093 | Russellville Hospital Inc | Family Medicine | 11809 Al Highway 157 Ste E, Moulton, AL 35650-2708 | 2020-03-05 |
| 1720509094 | Mallory Webb Wilson | Pharmacist | 20332 Al Highway 33, Moulton, AL 35650-9204 | 2017-06-27 |
| 1346682259 | Southern Hospitality Home & Health Care, Inc. | Home Health | 757 Lawrence St, Moulton, AL 35650-1636 | 2013-07-19 |
| 1588002455 | Lakeshore Pediatrics PC | Pediatrics | 12521 Al Highway 157 Ste B, Moulton, AL 35650-1937 | 2013-06-12 |
| 1194098012 | Victoria Carlene Linker | Counselor | 2360 County Road 317, Moulton, AL 35650-8121 | 2012-02-23 |
| 1760790166 | Leighton Pharmacy, Inc | Pharmacy | 15190 Court St., Suite A, Moulton, AL 35650-1519 | 2010-09-20 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1164695532 | Lawrence County E.m.s., Inc. | Ambulance | 11227 Al Hwy 157, Suite A, Moulton, AL 35650-1938 | 2008-04-08 |
| 1780855627 | Tanee Brooke Colburn | Occupational Therapist | 101 South Lancaster Street, Moulton, TX 77975 | 2008-03-19 |
| 1164693545 | Terry L. Pangburn | Driver | 109 S Elm St, Moulton, IA 52572-1441 | 2008-03-13 |
| Find all providers in MOULTON | ||||
| 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 |
|---|---|---|---|---|
| 1720509094 | Mallory Webb Wilson | Pharmacist | 20332 Al Highway 33, Moulton, AL 35650-9204 | 2017-06-27 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1356816995 | Michelle Burleson | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2018-10-10 |
| 1740702851 | Sandra Willingham Biddle | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-07-10 |
| 1164943288 | Angela Renae Simpson | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-06-28 |
| 1396265955 | Tracy Halbrooks | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-06-26 |
| 1942593686 | Elisabeth Erin Willis | Pharmacist | 11809 Al Highway 157, Moulton, AL 35650-2707 | 2011-05-26 |
| 1447321617 | Finch Arnold Duboise, Jr | Pharmacist | 11809 Al Highway 157, Moulton, AL 35650-2707 | 2006-11-10 |
| 1124197116 | Deborah Stephens Mclemore | Pharmacist | 11809 Al Highway 157, Suite A, Moulton, AL 35650-2707 | 2006-11-06 |
| Find all providers in MOULTON | ||||
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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.