DR. SUSAN MARY GRAY (NPI# 1023387511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023387511 |
| Entity Type | Individual |
| Full Name | DR. SUSAN MARY GRAY |
| Practice Address |
1407 Ridgefield Dr Des Peres MO 63131-3636 |
| Practice Telephone | 2176535303 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051291444 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835964 | Susan Ann Gray | Physical Therapist | 12435 Jewel Stone Ln, Fort Myers, FL 33913-6752 | 2019-11-13 |
| 1538402193 | Susan Gray | Speech-Language Pathologist | 69 Lincoln Ave, Hastings On Hudson, NY 10706-2505 | 2013-04-02 |
| 1053558577 | Susan Jane Gray | Nurse Practitioner | 915 Fern Hill Rd, Building A Suite 3, West Chester, PA 19380-4269 | 2009-01-21 |
| 1558483974 | Susan D. Gray | Chiropractor | 5416 N Maryland Ave, Portland, OR 97217-4548 | 2007-04-05 |
| 1770616559 | Susan Kay Gray | Nurse Practitioner | 109 N Chestnut, Onarga, IL 60955 | 2007-03-13 |
| 1649340225 | Susan Thomas Gray | Obstetrics & Gynecology | 1394 Hatcher Ln, Columbia, TN 38401-3568 | 2006-11-09 |
| 1083707400 | Susan Louise Gray | Speech-Language Pathologist | 12109 Sw 56th St, Mustang, OK 73064-7264 | 2006-09-30 |
| 1043251382 | Susan K. Gray | Nurse Practitioner | 22 Beverly Court, Metuchen, NJ 08840-3266 | 2006-06-09 |
| 1831723378 | Susan L Gray | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2020-02-24 |
| 1306380225 | Susan Gray | Registered Nurse | 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 | 2016-12-12 |
| Street Address |
1407 RIDGEFIELD DR |
| City | DES PERES |
| State | MO |
| Zip Code | 63131-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| 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 |
|---|---|---|---|---|
| 1558975102 | Emma Shannon | Pharmacist | 12006 Manchester Rd, Des Peres, MO 63131-4415 | 2020-09-01 |
| 1629689351 | Nicholas Austin Crabill | Pharmacist | 12006 Manchester Rd, Des Peres, MO 63131-4415 | 2020-08-14 |
| 1083031579 | Sajel Shailesh Patel | Pharmacist | 12006 Manchester Rd, Des Peres, MO 63131-4415 | 2014-03-24 |
| 1710326145 | Katie Normile | Pharmacist | 1080 Lindemann Rd, Des Peres, MO 63131-4526 | 2013-06-19 |
| 1780969857 | Janet Marie Shippee | Pharmacist | 12006 Manchester Rd, Des Peres, MO 63131-4415 | 2011-10-20 |
| 1245515642 | Adam Lueker | Pharmacist | 12006 Manchester Rd, Des Peres, MO 63131-4415 | 2011-10-17 |
| 1063797660 | Michael P Sachs | Pharmacist | 12006 Manchester Rd, Des Peres, MO 63131-4415 | 2011-10-14 |
| 1184907297 | Lisa Bowers | Pharmacist | 12006 Manchester Rd, Des Peres, MO 63131-4415 | 2011-09-25 |
| 1487937595 | Scott E Bosaw | Pharmacist | 12006 Manchester Rd, Des Peres, MO 63131-4415 | 2011-09-25 |
| 1073813143 | Benjamin Hale | Pharmacist | 12332 Manchester Rd, Des Peres, MO 63131-4315 | 2010-10-23 |
| Find all providers in DES PERES | ||||
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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.