CASSIDY RAE GRAHAM (NPI# 1891311155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891311155 |
| Entity Type | Individual |
| Full Name | CASSIDY RAE GRAHAM |
| Credential | PHARMD |
| Practice Address |
404 E Euclid Ave Indianola IA 50125-1730 |
| Mailing Address |
501 N 10th St Indianola IA 50125-1608 |
| Practice Telephone | 5159629399 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23829 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146510 | Cassidy Graham | Social Worker | 114 E Crandall Ave Ste B, Harrison, AR 72601-3628 | 2020-02-12 |
| 1609139708 | Cassidy John Graham | Family Medicine | 501 S Burma Ave, Gillette, WY 82716-3426 | 2012-06-22 |
| Street Address |
404 E EUCLID AVE |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306913983 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2006-11-29 |
| 1912493503 | Victoria Jo Demarce | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2018-07-06 |
| 1245723857 | Michael Harvey Cooley | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2018-06-08 |
| 1306343363 | Tyler Gregory Greiner | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2018-04-06 |
| 1386140648 | Lindsey Jane Ludwig | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2018-04-04 |
| 1699289496 | Michael Alan Ohnemus | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2017-12-01 |
| 1629231824 | Barry Hitt | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2008-07-08 |
| 1013040674 | Generosa D Archer | Pharmacist | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2007-03-13 |
| 1114068921 | Grx Holdings, LLC | Pharmacy | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| Find all providers in zip 50125 | ||||
| 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 |
|---|---|---|---|---|
| 1366916959 | Donna Louise Turman | Pharmacist | Magic Mart Pharmacy, 903 Highway 82 E Bldg G, Indianola, MS 38751-2325 | 2019-01-16 |
| 1962929745 | John William Downs Jr. | Pharmacist | 204 Highway 82 W, Indianola, MS 38751-2133 | 2017-08-23 |
| 1831407816 | Raymond Woo | Pharmacist | 624 W Gresham St, Indianola, MS 38751-2048 | 2010-09-23 |
| 1922136688 | Lloyd Leon Patton Jr. | Pharmacist | 903 Highway 82 East, Building G, Indianola, MS 38751 | 2007-03-02 |
| 1386681369 | Pharm Services Inc. | Pharmacist | 1510 Highway 82 E, Indianola, MS 38751-2339 | 2006-05-31 |
| 1265033120 | Fallon Mumford | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-11-05 |
| 1871194977 | Glenn Joe | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-11-04 |
| 1033710363 | Steven Alan Mckay | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-11-03 |
| 1972103455 | Deedra Brackeen Fontana | Pharmacist | 633 Highway 82 W, Indianola, MS 38751-2078 | 2020-10-26 |
| 1053940528 | Alisha Jo Helbing | Pharmacist | 1500 N Jefferson Way, Indianola, IA 50125-1489 | 2020-04-06 |
| Find all providers in INDIANOLA | ||||
Please comment or provide details below to improve the information on CASSIDY RAE GRAHAM.
| 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.