AMANDA RAE BONNER (NPI# 1093016529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093016529 |
Entity Type | Individual |
Full Name | AMANDA RAE BONNER |
Credential | PHARMD |
Practice Address |
100 S Bliss Ave Tahlequah OK 74464-2512 |
Practice Telephone | 9184583100 |
Mailing Telephone | 9184583100 |
Enumeration Date | 2010-11-15 |
Last Update Date | 2010-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 14738 | OK | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396111043 | Amanda Bonner | Hearing Instrument Specialist | 306 N Main St, Suite A, Lancaster, SC 29720-2117 | 2015-08-18 |
1093073629 | Amanda R Bonner | Internal Medicine | 2101 Ne 139th St, Suite #460, Vancouver, WA 98686 | 2012-05-02 |
Street Address |
100 S BLISS AVE |
City | TAHLEQUAH |
State | OK |
Zip Code | 74464-2512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194727198 | Owen Buck Gilmore | Family Medicine | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2005-08-10 |
1669085049 | Catherine Bailey Mcguffey | Physician Assistant | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-08-26 |
1679183404 | Kathryn Nicole Martin | Advanced Practice Midwife | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-08-06 |
1548882103 | Stacy Lynn Rutherford | Registered Nurse | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-05-17 |
1033739354 | Kelsey Kitchens | Audiologist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-17 |
1952930257 | Athena Chatzigiannidis | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
1942839394 | Sean Crawford | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
1912544735 | Henri Jade Casey | Dentist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-12-01 |
1831743624 | Sonny Jefferson James Downing | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-07-30 |
1275190688 | Sam Blake Campbell | Dentist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
Find all providers in zip 74464 |
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 |
---|---|---|---|---|
1821658576 | Teresa Ann Hayes | Pharmacist | 21297 Stick Ross Mountain Rd, Tahlequah, OK 74464-7343 | 2019-06-15 |
1811441579 | Robert Simpson | Pharmacist | 200 W Choctaw St, Tahlequah, OK 74464-3808 | 2016-08-11 |
1295144830 | Jimmy Blackburn Jr. | Pharmacist | 1500 E Downing St Ste 6, Tahlequah, OK 74464-3234 | 2014-08-07 |
1144507377 | Charlene Marie Catterlin | Pharmacist | 22361 S Bald Hill Rd, Tahlequah, OK 74464-1635 | 2011-11-16 |
1992899454 | Preston Maurice Turner | Pharmacist | 2001 S. Muskogee Ave, Tahlequah, OK 74464 | 2006-10-02 |
1811908361 | Richard Ernest Dandridge | Pharmacist | 1607 S Muskogee Ave, Suite D, Tahlequah, OK 74464-5440 | 2006-08-10 |
1700862802 | Richard Alan Stowe | Pharmacist | 104 Oakwood Dr, Tahlequah, OK 74464-4166 | 2005-12-20 |
1164422333 | David Roger Morris | Pharmacist | 1301 E Downing St, Tahlequah, OK 74464-3350 | 2005-07-28 |
1740880301 | Larry Lance Burkart | Pharmacist | 2020 S Muskogee Ave, Tahlequah, OK 74464-5439 | 2020-10-31 |
1528671237 | Madeleine Moss Perry | Pharmacist | 19600 E Ross St, Tahlequah, OK 74464-0545 | 2020-08-24 |
Find all providers in TAHLEQUAH |
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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.