MISS TITILOLA GROS (NPI# 1932486479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932486479 |
| Entity Type | Individual |
| Full Name | MISS TITILOLA GROS |
| Credential | PHARMD |
| Practice Address |
4430 Missouri Ave Fort Leonard Wood MO 65473-9098 |
| Practice Telephone | 5735969777 |
| Mailing Telephone | 5735969777 |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
20050117 | MO | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13897 Corporate Woods Trl, Bridgeton, MO 630441291 | 3147394503 |
| Street Address |
4430 MISSOURI AVE |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473-9098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225083249 | General Leonard Wood Army Community Hospital | Clinic/Center | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2006-05-24 |
| 1912511593 | Kay Lynn Brunt | Military Health Care Provider | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-09-01 |
| 1669084208 | Brenda Michelle Helton | Nurse Practitioner | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-08-17 |
| 1316565732 | Dalton Dewey | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-07-13 |
| 1538787643 | Kodjo Adam Dodo | Dietitian, Registered | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-07-06 |
| 1821613100 | Christopher James Robets | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-06-11 |
| 1760007355 | Zaine Robert Dugan | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-06-10 |
| 1134753031 | Jeremiah Leaming | Nurse Practitioner | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-02-28 |
| 1700418167 | Diana Alvarado | Social Worker | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-02-04 |
| 1336789767 | Jonathan Weiser | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312014 | Travis Weaver | Pharmacist | 4430 Missouri Ave, Pharmacy Division, Fort Leonard Wood, MO 65473-9098 | 2015-03-30 |
| 1811129075 | Zeinab Ahmed Ammar | Pharmacist | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1538647250 | Brian D Davis | Pharmacist | 600 Winding Oaks Pl, Ballwin, MO 63021-7379 | 2018-08-03 |
| 1144718313 | Eddy Airiohuodion | Pharmacist | 8629 E Utopia Pkwy Apt 11, Raytown, MO 64138-5307 | 2018-04-24 |
| 1770085987 | Brigid Farrar | Pharmacist | 440 E Tampa St # 100, Springfield, MO 65806-1131 | 2018-03-03 |
| 1104347277 | Blake William Baumann | Pharmacist | 2301 Homes St, Kansas City, MO 64108 | 2017-06-29 |
| 1497280523 | Scott Strassels | Pharmacist | 8002 Davis Dr, Clayton, MO 63105-2529 | 2017-04-26 |
| 1942682604 | Shane Austin | Pharmacist | 8660 Old Bonhomme Rd Apt B, Saint Louis, MO 63132-3936 | 2015-06-18 |
| 1255735015 | Surendra R Patel | Pharmacist | 333 Solar Terrace Ct, Chesterfield, MO 63017-2499 | 2014-10-22 |
| 1093131500 | Chessa Nyberg | Pharmacist | 410 E Porte Cimi Pas St, Kansas City, MO 64131-2922 | 2014-03-07 |
| 1063833127 | Brent Tackitt | Pharmacist | 1768 Winding Glen Dr, Saint Charles, MO 63303-5099 | 2013-12-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
Please comment or provide details below to improve the information on MISS TITILOLA GROS.
| 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.