EMILY MARIE SHOUPE (NPI# 1073126504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073126504 |
Entity Type | Individual |
Full Name | EMILY MARIE SHOUPE |
Credential | PHARMD |
Practice Address |
15342 Monterosa Dr Granger IN 46530-9494 |
Practice Telephone | 5745142379 |
Mailing Telephone | 5745142379 |
Enumeration Date | 2020-08-25 |
Last Update Date | 2020-08-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 45020507A | IN | Student, Health Care |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 5351012203 | MI | Student, Health Care |
Street Address |
15342 MONTEROSA DR |
City | GRANGER |
State | IN |
Zip Code | 46530-9494 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
Find all providers in zip 46530 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204442 | Stephanie Copeland | Student in an Organized Health Care Education/Training Program | 2508 Castor Ln, Madison, IN 47250-2496 | 2020-10-26 |
1801493226 | Justin Clark | Student in an Organized Health Care Education/Training Program | 7337 Wythe Dr, Noblesville, IN 46062-7785 | 2020-10-08 |
1962009639 | Raegan Michelle Walther | Student in an Organized Health Care Education/Training Program | 8489 W 700 N, Fair Oaks, IN 47943-8527 | 2020-10-06 |
1255938197 | Christopher Rodney West | Student in an Organized Health Care Education/Training Program | 8616 Burrell Ln, Indianapolis, IN 46256-6306 | 2020-10-05 |
1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
1740897362 | Taylor Traub | Student in an Organized Health Care Education/Training Program | 12890 Old Meridian St Apt 350, Carmel, IN 46032-8934 | 2020-09-28 |
1962016931 | Grant Sylvester Olsen | Student in an Organized Health Care Education/Training Program | 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 | 2020-09-07 |
1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
1457963563 | Janelle M Bonitati | Student in an Organized Health Care Education/Training Program | 914 E 50th St, Indianapolis, IN 46205-1112 | 2020-08-19 |
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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.