THOMAS JOHN ZLATOHLAVEK (NPI# 1033611207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033611207 |
| Entity Type | Individual |
| Full Name | THOMAS JOHN ZLATOHLAVEK |
| Credential | PHARM D |
| Practice Address |
400 S Broadway Oak Grove MO 64075-6140 |
| Mailing Address |
5610 Goodman St Merriam KS 66202-2236 |
| Practice Telephone | 8166253796 |
| Mailing Telephone | 3195739208 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16261 | KS | Pharmacy Service Providers |
| Street Address |
400 S BROADWAY |
| City | OAK GROVE |
| State | MO |
| Zip Code | 64075-6140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437435815 | Renie J Craig | Pharmacist | 400 S Broadway, Oak Grove, MO 64075-6140 | 2011-10-28 |
| 1518120146 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 400 S Broadway, Oak Grove, MO 64075-6140 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703863 | Samantha Jo Castlebury | Nurse Practitioner | 302 Se Salem, Oak Grove, MO 64075 | 2018-03-16 |
| 1629524574 | Brandon Notz | Registered Nurse | 509 Se Oak Ridge Dr., Unit A, Oak Grove, MO 64075 | 2016-08-31 |
| 1528468691 | Beacon of Hope Hospice of Missouri, Inc. | Hospice Care, Community Based | 1201c South Broadway, Oak Grove, MO 64075 | 2014-08-26 |
| 1043580194 | Crossroads Behavioral Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1611 Deer Run Rd., Oak Grove, MO 64075 | 2012-01-06 |
| 1861559734 | Patricia Ann Bettels Rhodes | Dentist | 2016 S Broadway, Oak Grove, MO 64075 | 2007-01-02 |
| 1922104447 | Elaine K Akin | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1598873911 | Amber Troyer | Optometrist | 201 S Salem, Oak Grove, MO 64075 | 2006-08-26 |
| 1104916337 | Ogmc LLC | Clinic/Center | 1900 S Broadway, Oak Grove, MN 64075 | 2006-10-16 |
| 1649376161 | Joyce E Peterson | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1518949031 | John Thomas Haller | Chiropractor | 105 Sw 12th St, Oak Grove, MO 64075-0957 | 2005-11-18 |
| Find all providers in zip 64075 | ||||
| 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 |
|---|---|---|---|---|
| 1265916043 | Melissa Kaye West | Pharmacist | 201 Se Salem St, Oak Grove, MO 64075-9284 | 2018-09-18 |
| 1467963868 | Laura Martin Perkins | Pharmacist | 803 E Main St, Oak Grove, LA 71263-2534 | 2017-10-12 |
| 1417406091 | Brittany Strong | Pharmacist | 411 E Main St, Oak Grove, LA 71263-2552 | 2016-09-23 |
| 1164837225 | Jeanie Rye | Pharmacist | 705 S Constitution Ave, Oak Grove, LA 71263-9095 | 2014-06-27 |
| 1437564796 | Angela Thompson | Pharmacist | 705 S Constitution Ave, Oak Grove, LA 71263-9095 | 2014-06-25 |
| 1366857880 | Pamela Lewis | Pharmacist | 705 S Constitution Ave, Oak Grove, LA 71263-9095 | 2014-06-23 |
| 1689087579 | Ashley Lewzader | Pharmacist | 14800 Fort Campbell Blvd, Oak Grove, KY 42262-8304 | 2014-06-09 |
| 1437435815 | Renie J Craig | Pharmacist | 400 S Broadway, Oak Grove, MO 64075-6140 | 2011-10-28 |
| 1174817936 | Michele Renee Beel | Pharmacist | 201 Se Salem St, Oak Grove, MO 64075-9284 | 2011-06-08 |
| 1255631958 | Ann Marie Nicole Moody | Pharmacist | 411 E Main St, P O Drawer 1003, Oak Grove, LA 71263-2552 | 2010-10-27 |
| Find all providers in OAK GROVE | ||||
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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.