DR. IAN THACKER


Address: 1711 N Morley St, Moberly, MO 65270-3630
Phone: 6602634187

DR. IAN THACKER (NPI# 1891306528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891306528
Entity Type Individual
Full Name DR. IAN THACKER
Practice Address 1711 N Morley St
Moberly
MO 65270-3630
Mailing Address 4525 Waterloo Dr
Columbia
MO 65202-1162
Practice Telephone 6602634187
Enumeration Date 2020-08-14
Last Update Date 2020-08-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 2020031426 MO Pharmacy Service Providers

Office Location

Street Address 1711 N MORLEY ST
City MOBERLY
State MO
Zip Code 65270-3630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962562058 Walgreen Co. Durable Medical Equipment & Medical Supplies 1711 N Morley St, Moberly, MO 65270-3630 2006-12-11
1275810558 Shirley Marie Kribbs Pharmacist 1711 N Morley St, Moberly, MO 65270-3630 2011-11-14
1578844718 Jennifer M Hicks Pharmacist 1711 N Morley St, Moberly, MO 65270-3630 2011-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538628052 Thomas Johnston Physical Therapist Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 2019-03-14
1245709682 Sam's Prescription Shop, Inc. Durable Medical Equipment & Medical Supplies 300 N. Morley Street, Moberly, MO 65270 2018-11-15
1639324585 Trinidad J. Aguilera General Practice 5201 South Morley, Moberly, MO 65270 2008-11-19
1023270170 Jessica Winn Internal Medicine 1513 Union Ave Ste 1500, Moberly, MO 65270 2008-06-30
1629237383 Heather Ann Lavalley Physical Therapy Assistant 1346 S Morley, Moberly, MO 65270 2008-06-06
1265602429 Mckenzie Prescription Center Inc Hearing Aid Equipment 643 N Morley St Ste A, Moberly, MO 65270 2008-03-04
1366624165 Sharon Kay Steele Military Hospital 1510 Highway Jj Lot41, Moberly, MO 65270 2007-12-04
1932241536 Christian S Tadrus Pharmacist 530 E. 24 Highway, (26-39586), Moberly, MO 65270 2007-02-12
1588700140 Heartland Neurology, LLC Psychiatry & Neurology 300 N. Morley, Suite H, Moberly, MO 65270 2007-01-30
1164571519 John James Oloughlin Dentist 1616 N Morely, Ste B, Moberly, MO 65270 2007-01-08
Find all providers in zip 65270

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932241536 Christian S Tadrus Pharmacist 530 E. 24 Highway, (26-39586), Moberly, MO 65270 2007-02-12
1083214480 Bethany Billups Pharmacist 1301 E Highway 24, Moberly, MO 65270-3655 2020-10-27
1558970475 Brandie Lynn Wilkerson Pharmacist 300 N Morley St, Moberly, MO 65270-2334 2020-07-27
1841737582 Anne C. Eisenbeis Pharmacist 530 East 24 Highway, Moberly, MO 65270 2017-01-19
1609233956 Rhonda Cachero Pharmacist 300 N Morley St, Moberly, MO 65270-2334 2016-01-18
1780060855 Kerri Manson Pharmacist 530 E Highway 24, Moberly, MO 65270-3622 2015-07-30
1962814541 Barbara Ann Woodcock Pharmacist 1301 E Highway 24, Moberly, MO 65270-3683 2014-05-29
1275810558 Shirley Marie Kribbs Pharmacist 1711 N Morley St, Moberly, MO 65270-3630 2011-11-14
1427334135 Tracie Crawford Lykins Pharmacist 300 N. Morley, Moberly, MO 65270 2011-10-26
1831472760 Kimberly Moore Pharmacist 1301 E Highway 24, Moberly, MO 65270-3683 2011-09-27
Find all providers in MOBERLY

Competitor

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City MOBERLY
Zip Code 65270

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Dataset Information

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.

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