TARA-DAWM R TOOTLE (NPI# 1194341396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194341396 |
| Entity Type | Individual |
| Full Name | TARA-DAWM R TOOTLE |
| Credential | PHARMD |
| Practice Address |
1204 E Mail St Havelock NC 28532 |
| Mailing Address |
1204 E Main St Havelock NC 28532-2405 |
| Practice Telephone | 2524441061 |
| Mailing Telephone | 2524441061 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 27133 | NC | Pharmacy Service Providers |
| Street Address |
1204 E MAIL ST |
| City | HAVELOCK |
| State | NC |
| Zip Code | 28532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377903 | Jessy Eugene Warren Whittall | Military Health Care Provider | 4389 Beafort Rd, Havelock, NC 28532 | 2019-07-11 |
| 1508375676 | Lacey Leeann Robinson | Dentist | 610 Miller Boulevard, Havelock, NC 28532 | 2017-09-21 |
| 1053861112 | Adam Toliver Davis | Dentist | 502 Us Hwy 70 West, Havelock, NC 28532 | 2016-10-12 |
| 1467825331 | Stephany Agudelo | Social Worker | 102 Verona Dive, Havelock, NC 28532 | 2015-11-02 |
| 1386089225 | Joanna Tiaira Johnson | Nurse Practitioner | 4389 Beaufort, Havelock, NC 28532 | 2013-05-06 |
| 1962665653 | Coastal Childrens Clinic | Pediatrics | 218 Stone Bridge Square, Havelock, NC 28532 | 2008-07-03 |
| 1235325218 | Michelle Land Amber | Dietitian, Registered | 210 Stonebridge Square, Havelock, NC 28532 | 2007-09-24 |
| 1437217213 | Havelock Chiropractic Center P.a. | Chiropractor | 314 Highway 70 West, Havelock, NC 28532 | 2006-12-05 |
| 1831273127 | David Lee Woodward Jr. | Chiropractor | 314 Hwy. 70 West, Havelock, NC 28532 | 2006-10-24 |
| 1316031602 | William S Harvey IIi | Dentist | 92 Stonebridge Trail, Havelock, NC 28532 | 2006-10-03 |
| Find all providers in zip 28532 | ||||
| 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 |
|---|---|---|---|---|
| 1588166961 | Meredith Brooke Reagan | Pharmacist | 103 Catawba Rd, Havelock, NC 28532-9515 | 2018-03-01 |
| 1780991711 | Victoria Maskinas | Pharmacist | 510 Us Highway 70 W, Havelock, NC 28532-9510 | 2010-09-13 |
| 1780239913 | Genevieve Nkiruka Anakwe Charles | Pharmacist | 4389 Beaufort Road, Havelock, NC 28532 | 2019-08-05 |
| 1326532219 | Steven Gillenwater | Pharmacist | 103 Catawba Rd, Havelock, NC 28532-9515 | 2018-06-14 |
| 1780175703 | Atsnaf Melaku Gebremariam | Pharmacist | 566 Us Highway 70 W, Havelock, NC 28532-9569 | 2018-05-24 |
| 1598284689 | Joseph T Covington | Pharmacist | 566 Us Highway 70 W, Havelock, NC 28532-9569 | 2017-09-11 |
| 1487179180 | Olivia Nicole Price | Pharmacist | 101 W Main St, Havelock, NC 28532-2655 | 2017-08-03 |
| 1861938805 | Susan Williams Robertson | Pharmacist | 566 Us Highway 70 W, Havelock, NC 28532-9569 | 2017-01-15 |
| 1558653485 | Mary Anna Tayloe | Pharmacist | 510 Us Highway 70 W, Havelock, NC 28532-9510 | 2011-05-11 |
| 1821396136 | John Eric Demoret | Pharmacist | 101 W Main St, Havelock, NC 28532-2655 | 2011-03-10 |
| Find all providers in HAVELOCK | ||||
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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.