JANE TENNIS (NPI# 1104176726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104176726 |
Entity Type | Individual |
Full Name | JANE TENNIS |
Credential | RPH, MBA |
Practice Address |
543 Boulder River Dr O Fallon MO 63368-9666 |
Mailing Address |
4801 Weldon Spring Pkwy Weldon Spring MO 63304-9101 |
Practice Telephone | 3146514716 |
Mailing Telephone | 6364417300 |
Enumeration Date | 2012-09-11 |
Last Update Date | 2012-09-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0283146 | MO | Pharmacy Service Providers |
Street Address |
543 BOULDER RIVER DR |
City | O FALLON |
State | MO |
Zip Code | 63368-9666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
Find all providers in zip 63368 |
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 |
---|---|---|---|---|
1922355940 | Bradley L Mcnew | Pharmacist | 2363 Marbury Way, O Fallon, MO 63368-8573 | 2012-08-08 |
1992199616 | Angelina Scholfield | Pharmacist | 844 Waterbury Falls Dr, O Fallon, MO 63368-2215 | 2015-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
1538647250 | Brian D Davis | Pharmacist | 600 Winding Oaks Pl, Ballwin, MO 63021-7379 | 2018-08-03 |
1144718313 | Eddy Airiohuodion | Pharmacist | 8629 E Utopia Pkwy Apt 11, Raytown, MO 64138-5307 | 2018-04-24 |
1770085987 | Brigid Farrar | Pharmacist | 440 E Tampa St # 100, Springfield, MO 65806-1131 | 2018-03-03 |
1104347277 | Blake William Baumann | Pharmacist | 2301 Homes St, Kansas City, MO 64108 | 2017-06-29 |
1497280523 | Scott Strassels | Pharmacist | 8002 Davis Dr, Clayton, MO 63105-2529 | 2017-04-26 |
1942682604 | Shane Austin | Pharmacist | 8660 Old Bonhomme Rd Apt B, Saint Louis, MO 63132-3936 | 2015-06-18 |
1255735015 | Surendra R Patel | Pharmacist | 333 Solar Terrace Ct, Chesterfield, MO 63017-2499 | 2014-10-22 |
1093131500 | Chessa Nyberg | Pharmacist | 410 E Porte Cimi Pas St, Kansas City, MO 64131-2922 | 2014-03-07 |
1063833127 | Brent Tackitt | Pharmacist | 1768 Winding Glen Dr, Saint Charles, MO 63303-5099 | 2013-12-16 |
Find all providers with the same taxonomy |
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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.