AUDREY STULTZ (NPI# 1073146601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073146601 |
| Entity Type | Individual |
| Full Name | AUDREY STULTZ |
| Credential | PHARMD |
| Practice Address |
3165 Dayton Xenia Rd Beavercreek OH 45434-6309 |
| Mailing Address |
1828 Robinhood Dr Fairborn OH 45324-3926 |
| Practice Telephone | 9374318230 |
| Practice Fax Number | 9374318226 |
| Mailing Telephone | 9372418960 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| 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 |
03329060 | OH | Pharmacy Service Providers |
| Street Address |
3165 DAYTON XENIA RD |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45434-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013941723 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3165 Dayton Xenia Rd, Ste 5, Beavercreek, OH 45434-6309 | 2006-07-10 |
| 1649804014 | Christopher Wise | Pharmacist | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2020-02-25 |
| 1376176784 | Kelcy Tucker | Nurse Practitioner | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2020-02-14 |
| 1780146449 | Amber Routt | Nurse Practitioner | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2019-04-02 |
| 1497241335 | Jessica Vencill | Dietitian, Registered | 3165 Dayton Xenia Rd, Beavercreek, OH 45434 | 2018-07-03 |
| 1467970020 | Jordan Jennewine | Dietitian, Registered | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2017-09-05 |
| 1588000830 | The Little Clinic of Ohio LLC | Nurse Practitioner | 3165 Dayton Xenia Rd, Beavercreek, OH 45434 | 2013-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
| 1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
| 1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
| 1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
| 1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
| 1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
| 1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
| 1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
| 1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
| Find all providers in zip 45434 | ||||
| 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 |
|---|---|---|---|---|
| 1760016729 | Valerie Mantz | Pharmacist | 3165 Dayton Xenia Rd # Rc, Beavercreek, OH 45434-6309 | 2020-02-28 |
| 1265064182 | Greg Chapman | Pharmacist | 2919 Niagara Dr, Beavercreek, OH 45431-5601 | 2020-02-08 |
| 1548568983 | Renee Louise Shiveley | Pharmacist | 1492 E Lynn Dr, Beavercreek, OH 45432-2917 | 2011-03-09 |
| 1467762575 | Chioma Adamaka Anyadike | Pharmacist | 2581 Hibiscus Way Apt 205, Beavercreek, OH 45431-2389 | 2010-10-08 |
| 1649804014 | Christopher Wise | Pharmacist | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2020-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45434 |
Please comment or provide details below to improve the information on AUDREY STULTZ.
| 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.