MRS. DANIELLE LOREN DEDMON (NPI# 1922147834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922147834 |
| Entity Type | Individual |
| Full Name | MRS. DANIELLE LOREN DEDMON |
| Credential | P.D. |
| Practice Address |
213 W Broadway St Spiro OK 74959-2419 |
| Mailing Address |
904 Carmen Dr Spiro OK 74959-2124 |
| Practice Telephone | 9189622131 |
| Practice Fax Number | 9189625750 |
| Mailing Telephone | 9189622131 |
| Mailing Fax Number | 9189625750 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12600 | OK | Pharmacy Service Providers |
| Street Address |
213 W BROADWAY ST |
| City | SPIRO |
| State | OK |
| Zip Code | 74959-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821181264 | Dedmon Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 213 W Broadway St, Spiro, OK 74959-2419 | 2006-09-30 |
| 1326508706 | Dedmon Pharmacy Inc | Pharmacy | 213 W Broadway St, Spiro, OK 74959-2419 | 2019-03-22 |
| 1497881098 | Bradley Wayne Dedmon | Pharmacist | 213 W Broadway St, Spiro, OK 74959-2419 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891148292 | Regan Lynn Huff | Case Manager/Care Coordinator | 228822 Racetrack Road, Spiro, OK 74959 | 2016-07-20 |
| 1891920211 | Compassion Home Care, Inc. | Home Health | 19409 Us Hwy 271, Spiro, OK 74959 | 2009-05-29 |
| 1578042404 | Baptist Health Services | Family Medicine | 702 W Broadway St, Spiro, OK 74959 | 2018-08-10 |
| 1487149043 | River Valley Primary Care, L.L.C. | Family Medicine | 107 W Broadway St, Spiro, OK 74959-2417 | 2018-06-26 |
| 1205822681 | Keifer Layne Fisher | Dentist | 318 W Broadway St, Spiro, OK 74959-2422 | 2005-09-21 |
| 1730277740 | Spiro Family Dental P.C. | Clinic/Center | 318 W Broadway St, Spiro, OK 74959-2422 | 2006-10-11 |
| 1770848004 | Spiro Public Schools | Speech-Language Pathologist | 600 W Broadway St, Spiro, OK 74959-2428 | 2012-07-12 |
| 1336137728 | Robert C Williams | Family Medicine | 702 W Broadway St, Spiro, OK 74959-2430 | 2005-10-10 |
| 1891350104 | Osu Center for Health Sciences | Clinic/Center | 702 W Broadway St, Spiro, OK 74959-2430 | 2019-05-02 |
| 1346724887 | Nata Matthews | Nurse Practitioner | 702 W Broadway St, Spiro, OK 74959-2430 | 2018-09-20 |
| Find all providers in zip 74959 | ||||
| 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 |
|---|---|---|---|---|
| 1497881098 | Bradley Wayne Dedmon | Pharmacist | 213 W Broadway St, Spiro, OK 74959-2419 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. DANIELLE LOREN DEDMON.
| 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.