SAMANTHA DODGE (NPI# 1952774481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952774481 |
Entity Type | Individual |
Full Name | SAMANTHA DODGE |
Credential | PHARM D |
Practice Address |
490 N 2nd E Mountain Home ID 83647-2729 |
Practice Telephone | 2085873346 |
Mailing Telephone | 2085873346 |
Enumeration Date | 2015-11-05 |
Last Update Date | 2015-11-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | P7283 | ID | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962905117 | Samantha Elaine Dodge | Physical Therapy Assistant | 1200 Birchwood Ave, Bellingham, WA 98225-1302 | 2018-03-14 |
Street Address |
490 N 2ND E |
City | MOUNTAIN HOME |
State | ID |
Zip Code | 83647-2729 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144606112 | Caylin Lepire | Pharmacist | 490 N 2nd E, Mountain Home, ID 83647-2729 | 2015-07-31 |
1962578526 | Alexander Drug Incorporated | Pharmacy | 490 N 2nd E, Mountain Home, ID 83647-2729 | 2006-11-27 |
1245327402 | Alexander Drug Incorporated | Durable Medical Equipment & Medical Supplies | 490 N 2nd E, Mountain Home, ID 83647-2729 | 2006-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
Find all providers in zip 83647 |
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 |
---|---|---|---|---|
1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
1104160985 | Anne Harris | Pharmacist | 59 Baypoint Ct, Mountain Home, AR 72653 | 2012-11-19 |
1487903068 | Jason Aaron Parsons | Pharmacist | 350 Hwy 62 East, Mountain Home, AR 72653 | 2012-08-29 |
1922383520 | Arnold Patrick Landry | Pharmacist | 350 Highway 62 East, Mountain Home, AR 72653-3629 | 2011-10-14 |
1770867541 | Matthew Alan Paden | Pharmacist | 406 Holly Grove Dr, Mountain Home, AR 72653-4263 | 2011-09-28 |
1205116555 | Vicki Jo Smedley | Pharmacist | Pharmacy Service (119), Building 200, James H Quillen Veterans Administration Medical Center, Mountain Home, TN 37684 | 2011-08-18 |
1104104991 | Shellie Ann Rivers | Pharmacist | 69 Dogwood Avenue, Mountain Home, TN 37684 | 2011-07-27 |
1265728455 | Mckenzie Highsmith | Pharmacist | Maple Ave, Buildling 7, Mountain Home, TN 37684 | 2011-06-26 |
1669765848 | Katelyn Krieger Alexander | Pharmacist | Maple Ave, Bld 7, East Tennessee State University College of Pharmacy, Mountain Home, TN 37684 | 2011-05-23 |
Find all providers in MOUNTAIN HOME |
City | MOUNTAIN HOME |
Zip Code | 83647 |
Please comment or provide details below to improve the information on SAMANTHA DODGE.
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.