ELAND BLAKE SIDDLE (NPI# 1184236358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184236358 |
| Entity Type | Individual |
| Full Name | ELAND BLAKE SIDDLE |
| Practice Address |
1015 Locust St Ste 420 Saint Louis MO 63101-1333 |
| Mailing Address |
10316 Grant Forest Ln Saint Louis MO 63123 |
| Practice Telephone | 8885366670 |
| Mailing Telephone | 6184078446 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2009020985 | MO | Pharmacy Service Providers |
| Street Address |
1015 LOCUST ST STE 420 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63101-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104562 | Lemonaid Pharmacy, LLC | Pharmacy | 1015 Locust St Ste 420, Saint Louis, MO 63101-1333 | 2018-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
| 1285142711 | The Community Wellness Project | Preventive Medicine | 906 Olive Street, Suite 904, St. Louis, MO 63101 | 2018-01-18 |
| 1427591734 | David Keith Barton | Counselor | 800 North Tucker, St. Louis, MO 63101 | 2016-11-18 |
| 1477965176 | Robin Ann Kundra Md | Internal Medicine | 916 Olive Street #312, St. Louis, MO 63101 | 2014-05-29 |
| 1942494190 | Deami Faida Watson | Speech-Language Pathologist | 801 N 11th Street, Saint Louis, MO 63101 | 2007-08-30 |
| 1104049618 | Mahoney and Ballard Dmd Inc | Dentist | 720 Olive Street, Suite 1700, Saint Louis, MO 63101 | 2007-04-11 |
| 1891827259 | North County Chiropractic & Rehab, Inc | Chiropractor | 7189 Lindenbergh Blvd N, Hazlewood, MO 63101 | 2007-03-12 |
| 1063561769 | Christopher Bradley Hill | Dentist | 1113 Locust Street, St. Louis, MO 63101 | 2007-01-10 |
| 1629148903 | Perry Bartels | Dentist | 515 Olive Street Suite 1802, Saint Louis, MO 63101 | 2006-11-08 |
| 1487179859 | Jamie Mufson | Speech-Language Pathologist | 801 N 11th St, Saint Louis, MO 63101 | 2017-08-07 |
| Find all providers in zip 63101 | ||||
| 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 |
|---|---|---|---|---|
| 1457959736 | Andrea Williams | Pharmacist | 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 | 2020-10-09 |
| 1417564196 | Barbara Rodgers | Pharmacist | 4700 N Hanley Rd Ste 256, Saint Louis, MO 63134-2700 | 2020-09-28 |
| 1396358339 | Michael A Heltzel | Pharmacist | 630 Emerson Rd Apt 307, Saint Louis, MO 63141-6764 | 2020-08-28 |
| 1295345866 | Elyar Gasanli | Pharmacist | 159 Lindbergh Place Dr, Saint Louis, MO 63146-5902 | 2020-08-07 |
| 1063039360 | Brad Collins | Pharmacist | 4240 Duncan Ave Ste 200, Saint Louis, MO 63110-1123 | 2020-07-02 |
| 1932720182 | Thomas Valiaparampil | Pharmacist | 7328 Cheshire Ln, Saint Louis, MO 63123-2125 | 2020-04-29 |
| 1467080945 | Ehikhuemhen Enaholo | Pharmacist | 5132 Waterman Blvd Apt 209, Saint Louis, MO 63108-1137 | 2020-03-30 |
| 1700425204 | Mena Khaled | Pharmacist | 9031 Big Chief Dr, Saint Louis, MO 63123-6605 | 2019-12-31 |
| 1952964652 | Almir Muharemovic | Pharmacist | 1205 Mangrove Ln Apt 6, Saint Louis, MO 63125-5631 | 2019-04-17 |
| 1215496518 | Ryan Freund | Pharmacist | 1861 Craig Park Ct, Saint Louis, MO 63146-4122 | 2019-03-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63101 |
Please comment or provide details below to improve the information on ELAND BLAKE SIDDLE.
| 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.