AMANDA RADTKE (NPI# 1962770297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962770297 |
| Entity Type | Individual |
| Full Name | AMANDA RADTKE |
| Credential | PHARM. D. |
| Practice Address |
8007 W Florissant Ave Jennings MO 63136-1400 |
| Mailing Address |
901 Wells Ave Apt A Caseyville IL 62232-2088 |
| Practice Telephone | 3145130194 |
| Mailing Telephone | 6185595290 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2009011857 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841859600 | Amanda Radtke | Counselor | 3416 N Association Dr, Appleton, WI 54914-1479 | 2019-06-06 |
| 1720506090 | Amanda Radtke | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2017-09-06 |
| 1215475413 | Amanda Veling Radtke | Internal Medicine | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2017-02-08 |
| 1679938724 | Amanda Rae Radtke | Social Worker | 40 11th St, Cloquet, MN 55720-1817 | 2015-12-16 |
| 1295864650 | Amanda Elizabeth Radtke | Marriage & Family Therapist | 6912 220th St Sw, Mountlake Terrace, WA 98043-2169 | 2007-03-03 |
| Street Address |
8007 W FLORISSANT AVE |
| City | JENNINGS |
| State | MO |
| Zip Code | 63136-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750675831 | Tamara H Johnson | Pharmacist | 8007 W Florissant Ave, T-2050, Jennings, MO 63136-1400 | 2011-06-06 |
| 1588093249 | Jacqueline Petersen | Pharmacist | 8007 W Florissant Ave, Jennings, MO 63136-1400 | 2013-11-04 |
| 1881942969 | Brittanie Witherspoon | Pharmacist | 8007 W Florissant Ave, T-2050, Jennings, MO 63136-1400 | 2012-08-21 |
| 1295020733 | Susan Greer | Pharmacist | 8007 W Florissant Ave, T-2050, Jennings, MO 63136-1400 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| 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 |
|---|---|---|---|---|
| 1891242103 | Bryson Cole Bertrand | Pharmacist | 1322 Elton Rd Ste M, Jennings, LA 70546-4100 | 2016-09-02 |
| 1790069771 | Ashley Marie Ohnemus | Pharmacist | 9285 Halls Ferry Road, Jennings, MO 63136-5144 | 2011-10-07 |
| 1013291210 | Jeremy Davis | Pharmacist | 9285 Halls Ferry Rd., Jennings, MO 63136 | 2011-10-06 |
| 1750675831 | Tamara H Johnson | Pharmacist | 8007 W Florissant Ave, T-2050, Jennings, MO 63136-1400 | 2011-06-06 |
| 1295349579 | Hunter Ragan | Pharmacist | 9285 Halls Ferry Rd, Jennings, MO 63136-5144 | 2020-09-03 |
| 1992326763 | Robin Mark Deshotel | Pharmacist | 1634 Elton Rd, Jennings, LA 70546-3614 | 2020-05-02 |
| 1659895688 | Chad Miller | Pharmacist | 1204 Elton Rd, Jennings, LA 70546-4136 | 2017-08-01 |
| 1386095149 | Claude Kimball Watkins | Pharmacist | 1204 Elton Rd, Jennings, LA 70546-4136 | 2016-06-23 |
| 1164898185 | Brandi Lynn Welch | Pharmacist | 1204 Elton Rd, Jennings, LA 70546-4136 | 2015-08-13 |
| 1730572728 | Sharde Clay | Pharmacist | 9285 Halls Ferry Rd, Jennings, MO 63136-5144 | 2015-03-15 |
| Find all providers in JENNINGS | ||||
Please comment or provide details below to improve the information on AMANDA RADTKE.
| 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.