MR. THOMAS LEE SANDISON (NPI# 1962427401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962427401 |
| Entity Type | Individual |
| Full Name | MR. THOMAS LEE SANDISON |
| Credential | R.PH. |
| Practice Address |
1250 Lears Rd Petoskey MI 49770-9252 |
| Mailing Address |
12955 Robins Ridge Rd Charlevoix MI 49720-8974 |
| Practice Telephone | 2312421667 |
| Practice Fax Number | 2312421667 |
| Mailing Telephone | (231) 547-5280 |
| Mailing Fax Number | 2315367739 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302026140 | MI | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Bridge St, East Jordan, MI 497279383 | 2315362207 | 2315367739 |
| Street Address |
1250 LEARS RD |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-9252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588108260 | Little Traverse Bay Bands of Odawa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2016-12-14 |
| 1881615391 | Terry J Samuels | Family Medicine | 1250 Lears Rd, Petoskey, MI 49770-8774 | 2006-07-21 |
| 1174544696 | Carianne Jeffers-wcisel | Physician Assistant | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2006-07-21 |
| 1649226853 | Russell J Wood | Social Worker | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| 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 |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1487945580 | Marlene Kay Nichols | Pharmacist | 630 W. Mitchell St, Petoskey, MI 49770 | 2011-04-22 |
| 1871892471 | Lawrence Paul Borrusch | Pharmacist | 1133 N Us Highway 31, Petoskey, MI 49770-9305 | 2011-03-22 |
| 1043533235 | Kristopher Avery Kaye | Pharmacist | 1401 Spring St, Petoskey, MI 49770-2884 | 2010-03-02 |
| 1528197860 | Gregory Beattie | Pharmacist | 630 W Mitchell St, Petoskey, MI 49770-2233 | 2007-03-04 |
| 1881295533 | Michael John Witten | Pharmacist | 1850 Anderson Rd, Petoskey, MI 49770-8893 | 2020-11-07 |
| 1972103554 | Melissa Dainoviec | Pharmacist | 1850 Anderson Rd, Petoskey, MI 49770-8893 | 2020-10-31 |
| 1649881442 | Gregory Fedirko | Pharmacist | 1301 N Us Highway 31, Petoskey, MI 49770-9317 | 2020-08-14 |
| 1720567266 | Eric Voisin | Pharmacist | 710 Spring St, Petoskey, MI 49770-2851 | 2018-08-07 |
| 1679089452 | Jarod Nathan Dainoviec | Pharmacist | 1133 N Us Highway 31, Petoskey, MI 49770-9305 | 2017-12-16 |
| Find all providers in PETOSKEY | ||||
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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.