DR. TISHA LANEE HENDRICKS (NPI# 1043548910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043548910 |
| Entity Type | Individual |
| Full Name | DR. TISHA LANEE HENDRICKS |
| Credential | PHARM.D. |
| Practice Address |
1832 Fm 646 Rd W Dickinson TX 77539-3202 |
| Practice Telephone | 2816145785 |
| Practice Fax Number | 2816145964 |
| Mailing Telephone | 2816145785 |
| Mailing Fax Number | 2816145964 |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 43006 | TX | Pharmacy Service Providers |
| Street Address |
1832 FM 646 RD W |
| City | DICKINSON |
| State | TX |
| Zip Code | 77539-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245245331 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1832 Fm 646 Rd W, Dickinson, TX 77539-3202 | 2006-07-29 |
| 1871822015 | Hanh Huynh Nguyen | Pharmacist | 1832 Fm 646 Rd W, Dickinson, TX 77539-3202 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940351 | Sushkap Dental Pllc | Dentist | 3448 Gulf Fwy., Dickinson, TX 77539 | 2020-04-09 |
| 1912567108 | Doves Home Care Agency, LLC | Home Health | 1124 Oak Hollow Dr, Dickinson, TX 77539 | 2019-06-19 |
| 1245718469 | Divine Csrd, LLC | Occupational Therapist | 608 Farm To Market Road 517 West, Dickinson, TX 77539 | 2018-07-31 |
| 1912491515 | Montoya Wilturner | Behavior Technician | 3001 Avenue B, Dickinson, TX 77539 | 2018-06-18 |
| 1528556370 | Taurus T, Pllc | Internal Medicine | 1621 Fm 517 Rd E, Dickinson, TX 77539 | 2018-04-27 |
| 1720504111 | Southwest Wellness Solutions | Physical Therapist | 608 Fm 517 Rd W, Dickinson, TX 77539 | 2017-08-17 |
| 1578013025 | Joie Hawkins Brownlee | Registered Nurse | 1804 Fm 646 Rd W Ste J, Dickinson, TX 77539 | 2016-10-08 |
| 1942668058 | Kelly Engle | Registered Nurse | 3828 Hughes Ct #104, Utmb Rmchp, Dickinson, TX 77539 | 2016-02-03 |
| 1356715122 | Quynh Le | Pharmacist | 3014 N Meadow Ln, Dickinson, TX 77539 | 2015-11-17 |
| 1144639311 | Jennifer Lee Warwick | Physician Assistant | 680 Fm 517 Road West, Dickinson, TX 77539 | 2014-08-12 |
| Find all providers in zip 77539 | ||||
| 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 |
|---|---|---|---|---|
| 1548611080 | Brandon Blake | Pharmacist | 2251 Fm 646 Rd W # 155a, Dickinson, TX 77539-3251 | 2016-06-27 |
| 1356715122 | Quynh Le | Pharmacist | 3014 N Meadow Ln, Dickinson, TX 77539 | 2015-11-17 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| 1194161919 | Teresa Ann Gerbig | Pharmacist | 1571 W Villard St, Suite 1, Dickinson, ND 58601-4651 | 2013-05-20 |
| 1821385857 | Rosemary A Yovonoo | Pharmacist | 1801 Gulf Fwy, T2320, Dickinson, TX 77539-3207 | 2011-06-28 |
| 1740519503 | Caroline Ngo | Pharmacist | 100 Fm 646, Dickinson, TX 77539 | 2009-12-08 |
| 1558690347 | Travis Benjamin Johnson | Pharmacist | 100 Fm 646 W, Dickinson, TX 77539 | 2009-12-08 |
| 1508194465 | Jacqueline Kerckhoff | Pharmacist | 100 Fm 646 West, Dickinson, TX 77539 | 2009-12-03 |
| 1710108576 | Alvin W Schwindt | Pharmacist | 1681 3rd Ave W, Dickinson, ND 58601 | 2007-05-01 |
| Find all providers in DICKINSON | ||||
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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.