DR. MEGHAN MICHELE BODENBERG (NPI# 1023262375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023262375 |
| Entity Type | Individual |
| Full Name | DR. MEGHAN MICHELE BODENBERG |
| Credential | PHARMD |
| Practice Address |
2100 Gardiner Ln Louisville KY 40205-2962 |
| Practice Telephone | 5024138962 |
| Practice Fax Number | 5025154669 |
| Mailing Telephone | 5024138962 |
| Mailing Fax Number | 5025154669 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
014297 | KY | Pharmacy Service Providers |
| Street Address |
2100 GARDINER LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-2962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962497388 | James P. Bloch | Psychologist | 2100 Gardiner Ln, Nolan Building Suite 307, Louisville, KY 40205-2962 | 2005-09-12 |
| 1881100436 | Emily Ann O'reilly | Pharmacist | 2100 Gardiner Ln, Louisville, KY 40205-2962 | 2017-12-19 |
| 1013469436 | Mallory Durham | Pharmacist | 2100 Gardiner Ln, Louisville, KY 40205-2962 | 2016-11-02 |
| 1902252448 | Bruce Eckerle | Pharmacist | 2100 Gardiner Ln, Suite 155, Louisville, KY 40205-2962 | 2016-05-13 |
| 1235585860 | Cindy Dene Stowe | Pharmacist | 2100 Gardiner Ln, Louisville, KY 40205-2962 | 2016-05-12 |
| 1447606041 | Amber Cann | Pharmacist | 2100 Gardiner Ln, Louisville, KY 40205-2962 | 2016-05-12 |
| 1891140836 | Vinh Nguyen | Pharmacist | 2100 Gardiner Ln, Louisville, KY 40205-2962 | 2016-04-27 |
| 1013371798 | Amanda Jett | Pharmacist | 2100 Gardiner Ln, Louisville, KY 40205-2962 | 2016-04-08 |
| 1821490368 | Catherine Spencer | Pharmacist | 2100 Gardiner Ln, Sullivan University College of Pharmacy, Louisville, KY 40205-2962 | 2014-09-16 |
| 1184023954 | Drew W. Cates | Pharmacist | 2100 Gardiner Ln, Louisville, KY 40205-2962 | 2014-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1841797560 | Bhavyata Parag | Pharmacist | 530 S Jackson St Apt 111, Louisville, KY 40202-1675 | 2018-04-09 |
| 1588910905 | Gayatri Singh | Pharmacist | 900 Eldorado Lane, Louisville, CO 80027-3107 | 2012-08-03 |
| 1083868947 | Esen Apak Stephens | Pharmacist | 9819 White Blossom Blvd, Louisville, KY 40241-4181 | 2008-11-05 |
| 1477154649 | Kristopher Waller | Pharmacist | 3165 S 2nd St, Louisville, KY 40208-1446 | 2020-11-04 |
| 1083214290 | Kristin Scarboro | Pharmacist | 3039 Breckenridge Ln, Louisville, KY 40220-2101 | 2020-10-27 |
| 1811596893 | Melina Irene Digenis | Pharmacist | 9440 Brownsboro Rd, Louisville, KY 40241-1200 | 2020-10-21 |
| 1467051417 | William K Harmon | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
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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.