KRISTY JO ROTH (NPI# 1134775554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134775554 |
| Entity Type | Individual |
| Full Name | KRISTY JO ROTH |
| Credential | PHARMD |
| Practice Address |
0975n 00 Ew Lagrange IN 46761 |
| Mailing Address |
2985 W 050 N Lagrange IN 46761-9460 |
| Practice Telephone | 2604632583 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26027037A | IN | Pharmacy Service Providers |
| Street Address |
0975N 00 EW |
| City | LAGRANGE |
| State | IN |
| Zip Code | 46761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
| 1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
| 1881231272 | Robert Dean Kinsey | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-04 |
| Find all providers in zip 46761 | ||||
| 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 |
|---|---|---|---|---|
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1841770898 | Frances Morgan Fordham | Pharmacist | 300 Mooty Bridge Rd Ste 112, Lagrange, GA 30240-1881 | 2018-08-20 |
| 1467953638 | Ryan Meeks | Pharmacist | 300 Mooty Bridge Rd Ste 114, Lagrange, GA 30240-1881 | 2018-02-23 |
| 1447597117 | Manish C Kataria | Pharmacist | 139 Commerce Ave, Lagrange, GA 30241-2337 | 2013-01-14 |
| 1790074003 | William H Scarborough | Pharmacist | 900 Hogansville Rd Ste K, Lagrange, GA 30241-1441 | 2011-04-07 |
| 1558650267 | Richard E Brubaker | Pharmacist | 900 Hogansville Rd, Suite K, Lagrange, GA 30241-1467 | 2011-04-04 |
| 1487255139 | Noah Belk | Pharmacist | 300 Mooty Bridge Rd Ste 112, Lagrange, GA 30240-1881 | 2020-11-07 |
| 1063025559 | Bonnie Adams Watkins | Pharmacist | 115 Vernon St, Lagrange, GA 30240-3109 | 2020-08-25 |
| 1073155644 | Josh Jones | Pharmacist | 203 Commerce Ave Ste A, Lagrange, GA 30241-2358 | 2019-10-15 |
| 1114417375 | Himeshkumar Patel | Pharmacist | 803 New Franklin Rd, Lagrange, GA 30240-1827 | 2018-05-14 |
| Find all providers in LAGRANGE | ||||
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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.