MISS HALLIE RAE FANNING (NPI# 1093271843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093271843 |
| Entity Type | Individual |
| Full Name | MISS HALLIE RAE FANNING |
| Credential | PHARM. D |
| Practice Address |
522 N New Ballas Rd Ste 206 Saint Louis MO 63141-6819 |
| Mailing Address |
2260 Hepperman Rd Wentzville MO 63385-5314 |
| Practice Telephone | 3144991227 |
| Practice Fax Number | 3144991228 |
| Mailing Telephone | 5732029152 |
| Mailing Fax Number | 6362784754 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| 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 |
2018024631 | MO | Pharmacy Service Providers |
| Street Address |
522 N NEW BALLAS RD STE 206 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893071 | Key Healthmeds LLC | Pharmacy | 522 N New Ballas Rd Ste 206, Saint Louis, MO 63141-6819 | 2018-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1942682604 | Shane Austin | Pharmacist | 8660 Old Bonhomme Rd Apt B, Saint Louis, MO 63132-3936 | 2015-06-18 |
| 1740537554 | Stephanie Michelle Crist | Pharmacist | 520 Maryville Centre Dr Ste 500, Saint Louis, MO 63141-5840 | 2012-08-10 |
| 1477829406 | Albert Zvibleman | Pharmacist | 1830 Pickfair Dr, Saint Louis, MO 63146-3626 | 2012-03-23 |
| 1265662027 | Kristin Campbell Mahan | Pharmacist | 1031 Bellevue Ave Ste 300, Saint Louis, MO 63117-1857 | 2009-07-15 |
| 1386890127 | Jamie Reski | Pharmacist | 1800 S Brentwood Blvd Apt 10212, Saint Louis, MO 63144-1860 | 2008-08-12 |
| 1275170128 | Holly Przygoda | Pharmacist | 5055 Arsenal St, Saint Louis, MO 63139-1011 | 2019-12-10 |
| 1366099178 | Melissa Ann Stutz | Pharmacist | 6600 Clayton Rd, Saint Louis, MO 63117-1602 | 2019-08-26 |
| 1679129597 | Scott Boyle | Pharmacist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-08-15 |
| 1588221113 | Rebecca Brand | Pharmacist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-05-20 |
| 1194388405 | Madeline C Normansell | Pharmacist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-04-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on MISS HALLIE RAE FANNING.
| 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.