SAMANTHA DODGE


Address: 490 N 2nd E, Mountain Home, ID 83647-2729
Phone: 2085873346

SAMANTHA DODGE (NPI# 1952774481) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist P7283 ID Pharmacy Service Providers

Other Providers SAMANTHA DODGE

NPI Name Taxonomy Address Enumeration
1962905117 Samantha Elaine Dodge Physical Therapy Assistant 1200 Birchwood Ave, Bellingham, WA 98225-1302 2018-03-14

Office Location

Street Address 490 N 2ND E
City MOUNTAIN HOME
State ID
Zip Code 83647-2729

Providers in the same location

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

Providers in the same zip code

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 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
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

Competitor

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City MOUNTAIN HOME
Zip Code 83647

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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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