METHODIST HEALTH, INC. (NPI# 1962055863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962055863 |
| Entity Type | Organization |
| Organization Name | METHODIST HEALTH, INC. |
| Other Organization Name | DEACONESS FAMILY PHARMACY HENDERSON |
| Practice Address |
1305 N Elm St Henderson KY 42420-2783 |
| Practice Telephone | 8124503784 |
| Mailing Telephone | 8124503784 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | SHAWN MCCOY (CEO) |
| Authorized Official Telephone | 8124505000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 01012053 | 05 |
| Other Name | Type Code |
|---|---|
| Deaconess Family Pharmacy Henderson | Doing Business As Name - Organization |
| Methodist Hospital Outpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232258 | Methodist Health, Inc. | Internal Medicine | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2019-05-30 |
| 1871082339 | Methodist Health, Inc. | Nurse Practitioner | 1305 N Elm St Ste E, Henderson, KY 42420-2783 | 2018-05-09 |
| 1578997482 | Methodist Health, Inc. | Nurse Practitioner | 2000 N Elm St Ste 1a, Henderson, KY 42420-2385 | 2013-08-27 |
| 1427290774 | Methodist Health, Inc. | Nurse Practitioner | 319 8th St Ste 1, Henderson, KY 42420-2963 | 2009-04-01 |
| 1609018951 | Methodist Health, Inc. | Nurse Practitioner | 1413 N Elm St Ste 201, Henderson, KY 42420-2767 | 2009-04-01 |
| 1154567402 | Methodist Health, Inc. | Family Medicine | 1305 N Elm St Ste A, Henderson, KY 42420-2783 | 2008-12-16 |
| 1013192293 | Methodist Health, Inc. | Family Medicine | 47 W. Webster Street, Sebree, KY 42455-0426 | 2008-01-07 |
| 1821212002 | Methodist Health, Inc. | Clinic/Center | 4604 Us Hwy 60 West, Morganfield, KY 42437 | 2007-04-12 |
| 1225016801 | Methodist Health, Inc. | Anesthesiology | 1305 North Elm St, Henderson, KY 42420 | 2006-01-04 |
| 1548248123 | Methodist Health, Inc. | Family Medicine | 1284 Us Highway 60 W, Morganfield, KY 42437-6236 | 2006-01-04 |
| Street Address |
1305 N ELM ST |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026679 | Sheri Dawn Montgomery | Emergency Medicine | 1305 N Elm St, Er, Henderson, KY 42420-2783 | 2005-07-08 |
| 1144845868 | Laura L Kirk | Physician Assistant | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-06-09 |
| 1659993582 | Deaconess Clinic, Inc | Internal Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-05-14 |
| 1336768993 | Carla M Wise | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-04-14 |
| 1528697869 | Jessica L Utley | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2775 | 2020-04-08 |
| 1457987877 | Tabicia Linn Mattingly | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-03-17 |
| 1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
| 1669034252 | Shelby Nichole Hite | Speech-Language Pathologist | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-03 |
| 1780249060 | Methodist Health, Inc. | Anesthesiology | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-05-02 |
| 1740753086 | Andrea Lynn Clemons | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980599 | Total Infusion Care Inc | Pharmacy | 3041 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-4444 | 2020-04-09 |
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1508333899 | Khoi Ha Pllc | Pharmacy | 3175 Saint Rose Pkwy Ste 120, Henderson, NV 89052-3507 | 2018-10-25 |
| 1457758948 | Atlas Specialty Pharmacy LLC | Pharmacy | 301 N Pecos Rd Ste D, Henderson, NV 89074-1350 | 2014-11-26 |
| 1982834131 | Valley Lake Inc | Pharmacy | 2245 N Green Valley Pkwy, Henderson, NV 89014-5024 | 2009-07-22 |
| 1164661914 | Jib Enterprises LLC | Pharmacy | 1590 W Horizon Ridge Pkwy, Suite#130, Henderson, NV 89012-3507 | 2009-02-18 |
| 1518033273 | Pharmacy Corporation of America | Pharmacy | 1910 Ross Mill Rd, Henderson, NC 27537-8789 | 2006-11-27 |
| 1881781557 | Donald Frank Norris | Pharmacy | 1060 N Main St, Henderson, NE 68371-0711 | 2006-10-06 |
| 1669571972 | Warm Springs Road Cvs, L.L.C. | Pharmacy | 21 W Horizon Ridge Pkwy, Henderson, NV 89012-5307 | 2006-09-22 |
| 1457453714 | Walgreen Co. | Pharmacy | 402 2nd St, Henderson, KY 42420-3221 | 2006-09-05 |
| Find all providers in HENDERSON | ||||
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| 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.