JEREME AJAZ AZEEZ (NPI# 1972888055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972888055 |
| Entity Type | Individual |
| Full Name | JEREME AJAZ AZEEZ |
| Credential | PHARMD, RPH |
| Practice Address |
49 E Old Mill Rd Fair Grove MO 65648-8452 |
| Mailing Address |
8195 N Farm Road 197 Fair Grove MO 65648-8268 |
| Practice Telephone | 4177596300 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2013-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2004035743 | MO | Pharmacy Service Providers |
| Street Address |
49 E OLD MILL RD |
| City | FAIR GROVE |
| State | MO |
| Zip Code | 65648-8452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881669208 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 49 E Old Mill Rd, Fair Grove, MO 65648-8452 | 2006-02-20 |
| 1629557202 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 49 E Old Mill Rd, Fair Grove, MO 65648-8452 | 2018-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831748755 | Evelyn Kerby | Technician | 2693 E. State Hwy Kk, Fair Grove, MO 65648 | 2019-09-04 |
| 1457542706 | Shawn Nolen Rice | Psychiatry & Neurology | 14 Red Fern Ln, Fair Grove, MO 65648-4100 | 2007-08-01 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1700342680 | Jessica Cobban | Student in an Organized Health Care Education/Training Program | 11178 N Farm Road 221, Fair Grove, MO 65648-8172 | 2019-02-15 |
| 1497909410 | Clyde Norman Shealy | Neurological Surgery | 5607 S 222nd Rd, Fair Grove, MO 65648-8192 | 2008-11-05 |
| 1881905099 | Kathy L. Brite | Occupational Therapy Assistant | 406 Northview Cir E, Fair Grove, MO 65648-8426 | 2010-06-23 |
| 1073113155 | Lester E Cox Medical Centers | Nurse Practitioner | 132 N Main St, Fair Grove, MO 65648-8436 | 2020-10-28 |
| 1639667306 | Kayce Knaup | Psychologist | 132 N Main St, Fair Grove, MO 65648-8436 | 2018-04-27 |
| 1881181725 | Katie Larue | Speech-Language Pathologist | 132 N Main St, Fair Grove, MO 65648-8436 | 2018-04-17 |
| 1033616255 | Emma Letterman | Speech-Language Pathologist | 132 N Main St, Fair Grove, MO 65648-8436 | 2018-04-13 |
| Find all providers in zip 65648 | ||||
| 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 |
|---|---|---|---|---|
| 1952902777 | Kimberly Rachelle Troha | Pharmacist | 605 S Jewel Ct, Nixa, MO 65714-7590 | 2020-11-06 |
| 1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
| 1386245108 | Stephanie Mummert | Pharmacist | 404 Nw Highcliffe Dr, Lees Summit, MO 64081-2061 | 2020-11-06 |
| 1023619038 | William Molenaar | Pharmacist | 18401 State Hwy 13, Branson West, MO 65737 | 2020-11-05 |
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1457952624 | Brian Gregory Young | Pharmacist | 185 St.robert Blvd, St. Robert, MO 65584-6558 | 2020-11-04 |
| 1013518224 | Brian James Voss | Pharmacist | 512 Deer Pointe Ct, Fenton, MO 63026-3061 | 2020-11-04 |
| 1730780917 | Amy Benson | Pharmacist | 5100 N Towne Centre Dr, Ozark, MO 65721-7479 | 2020-11-04 |
| 1952902355 | Aaron Kate Menley | Pharmacist | 2025 West Business Highway 60, Dexter, MO 63841-6384 | 2020-11-03 |
| 1447851043 | Elizabeth Ahrens | Pharmacist | 625 Sw Us Highway 40, Blue Springs, MO 64014-3232 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | FAIR GROVE |
| Zip Code | 65648 |
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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.