KACEY MINTON (NPI# 1134502917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134502917 |
| Entity Type | Individual |
| Full Name | KACEY MINTON |
| Credential | R.PH. |
| Practice Address |
803 1/2 N 1st St Vienna IL 62995-1544 |
| Practice Telephone | 6186583478 |
| Mailing Telephone | 6186583478 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-040889 | IL | Pharmacy Service Providers |
| Street Address |
803 1/2 N 1ST ST |
| City | VIENNA |
| State | IL |
| Zip Code | 62995-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895604 | Bode Drug Inc | Pharmacy | 803 1/2 N 1st St, Vienna, IL 62995-1849 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538663463 | Gregory M Blakely | Physical Therapist | 811 North 1st Street, Vienna, IL 62995 | 2018-03-23 |
| 1194101196 | Ashley Laws | Counselor | 408 E. Vine, Vienna, IL 62995 | 2015-08-03 |
| 1477981421 | Amanda Endrizzi | Physician Assistant | 803 North 1st Street, Vienna, IL 62995 | 2013-10-29 |
| 1780831453 | Family Counseling Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 904 Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1528215290 | Family Counseling Center, Inc. | Clinic/Center | 406 East Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1770676207 | Martha Jane Crawford | Social Worker | 408 E Vine, Vienna, IL 62995 | 2006-10-02 |
| 1235147216 | Rachel Ann Edmonds | Physical Therapist | 811 N 1st Street, Vienna, IL 62995 | 2006-08-04 |
| 1376572552 | Bode Drug Inc | Pharmacy | 803 and One Half N First St, Vienna, IL 62995 | 2006-07-01 |
| 1578557476 | Roger Franklin High | Chiropractor | 122 N 4th St, Vienna, IL 62995 | 2005-09-07 |
| 1932263332 | Rural Health, Inc. | Clinic/Center | 803 N 1st St, Vienna, IL 62995 | 2006-12-20 |
| Find all providers in zip 62995 | ||||
| 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 |
|---|---|---|---|---|
| 1316580525 | Muna Barazanji | Pharmacist | 2816 Balliett Ct, Vienna, VA 22180-7008 | 2019-10-21 |
| 1194267047 | Robin Schermerhorn | Pharmacist | 1916 Aubrey Place Ct, Vienna, VA 22182-1976 | 2016-11-09 |
| 1952855496 | Winnie Shuk-mei Chin-hotraphinyo | Pharmacist | 920 Fairway Dr Ne, Vienna, VA 22180-3632 | 2016-08-13 |
| 1851764781 | Peter Kaldos | Pharmacist | 130 Patrick St Se, Vienna, VA 22180-6651 | 2015-10-30 |
| 1972922292 | Reza Razian | Pharmacist | 2205 Abbotsford Dr, Vienna, VA 22181-3220 | 2014-04-15 |
| 1104262393 | Janet E Owen | Pharmacist | 2213 Cedar Mill Ct, Vienna, VA 22182-5245 | 2013-05-15 |
| 1518218254 | Chioma Cynthia Nwaubani | Pharmacist | 2817 Yeonas Dr, Vienna, VA 22180-6124 | 2012-09-20 |
| 1346527975 | Pawanprit Kaur Singh | Pharmacist | 9953 Leamoore Ln, Vienna, VA 22181-5921 | 2011-11-10 |
| 1467758110 | My-hanh Tuan Ngo | Pharmacist | 2523 Villanova Dr, Vienna, VA 22180-6960 | 2011-01-27 |
| 1770884108 | Rania Hwary | Pharmacist | 1812 Fawncrest Ct, Vienna, VA 22182-2518 | 2010-11-17 |
| Find all providers in VIENNA | ||||
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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.