MR. CECIL RAY VINCENT SR. (NPI# 1114015682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114015682 |
| Entity Type | Individual |
| Full Name | MR. CECIL RAY VINCENT SR. |
| Credential | R.PH. |
| Practice Address |
302 S Prairie Bloomfield MO 63825 |
| Mailing Address |
302 Prairie Bloomfield MO 63825 |
| Practice Telephone | 5735682643 |
| Mailing Telephone | 5735682643 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 005267 | MO | Pharmacy Service Providers |
| Street Address |
302 S PRAIRIE |
| City | BLOOMFIELD |
| State | MO |
| Zip Code | 63825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073039715 | Susan L Shea | Counselor | 402 Barbara Street, Bloomfield, MO 63825 | 2017-08-15 |
| 1750571931 | Robin Denise Osborn | Counselor | 206 S Prairie Street, Bloomfield, MO 63825 | 2007-07-25 |
| 1265575385 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 1003 State Hwy 25 North, Bloomfield, MO 63825 | 2007-02-15 |
| 1588714992 | Bloomfield R-14 Schools | Local Education Agency (LEA) | 505 Court St., Bloomfield, MO 63825 | 2007-01-11 |
| 1326108226 | Dexter Hospital LLC | Internal Medicine | 1003 Highway 25 North, Bloomfield, MO 63825 | 2006-12-11 |
| 1245317700 | Amy Holland | Nurse Practitioner | 1003 Hwy 25 N, Bloomfield, MO 63825 | 2006-11-01 |
| 1225112345 | Town Pharmacy Inc. | Pharmacy | 700 Highway 25 South, Bloomfield, MO 63825 | 2006-10-25 |
| 1033182092 | Peter W Somers | Family Medicine | 101 South Prairie Street, Bloomfield, MO 63825 | 2006-02-09 |
| 1023424041 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 101 South Prairie Street, Bloomfield, MO 63825 | 2014-07-10 |
| 1528205788 | Robert Lee Joplin | Driver | 206 S Prairie Street, Bloomfield, MO 63825 | 2009-01-09 |
| Find all providers in zip 63825 | ||||
| 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 |
|---|---|---|---|---|
| 1316550254 | Virleny A Garcia | Pharmacist | 537 Beardsley Ave, Bloomfield, NJ 07003-5606 | 2020-08-29 |
| 1346712254 | David Ramcharan | Pharmacist | 28 Parkway W, Bloomfield, NJ 07003-5723 | 2018-12-18 |
| 1285132449 | Maham Khan | Pharmacist | 19 Barry Cir, Bloomfield, CT 06002-1967 | 2018-01-23 |
| 1245783414 | Michael P Bettini | Pharmacist | 3456 Taft Rd, Bloomfield, NY 14469-9356 | 2016-07-25 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1740686427 | Chirag Paghdal | Pharmacist | 67 Barbara St, Bloomfield, NJ 07003-4001 | 2014-11-07 |
| 1841622511 | Kunal J Patel | Pharmacist | 17 Walter St, Bloomfield, NJ 07003-4016 | 2013-08-05 |
| 1386911162 | Christine Soon | Pharmacist | 53 Meadow Ln, Bloomfield, NJ 07003-4325 | 2011-11-22 |
| 1407139165 | Cheryl Hsu | Pharmacist | 100 Renner Ave, Bloomfield, NJ 07003 | 2011-09-20 |
| 1255640355 | Vinh Dam | Pharmacist | 77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985 | 2010-10-07 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 63825 |
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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.