MICHAEL CHARLES KRUEGER (NPI# 1205954674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205954674 |
| Entity Type | Individual |
| Full Name | MICHAEL CHARLES KRUEGER |
| Credential | RPH |
| Practice Address |
1107 E 42nd St Lowes Pharmacy #36 Odessa TX 79762 |
| Mailing Address |
4210 E Everglade Odessa TX 79762-7136 |
| Practice Telephone | 4323673407 |
| Practice Fax Number | 4323660336 |
| Mailing Telephone | 4325599544 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 27633 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588132 | Michael Krueger | Chiropractor | 5750 Rivers Ave Ste A, North Charleston, SC 29406-6029 | 2019-09-23 |
| 1396714937 | Michael L Krueger | Internal Medicine | 7033 N Fresno St, Ste 301, Fresno, CA 93720 | 2006-03-16 |
| 1790155604 | Michael Krueger | Occupational Therapist | 1615 E. Boot Rd., West Chester, PA 19380 | 2015-10-05 |
| 1235395153 | Michael Krueger | Orthopaedic Surgery | 17270 Se 109th Terrace Rd, Summerfield, FL 34491-9015 | 2008-07-30 |
| 1730250572 | Michael Joel Krueger | Dentist | 312 2nd Ave, Sterling, IL 61081-3607 | 2006-11-13 |
| 1497854228 | Michael Paul Krueger | Nurse Practitioner | 3200 Vine St, Cincinnati, OH 45220-2213 | 2006-09-21 |
| 1124041660 | Michael Stephan Krueger | Physician Assistant | 501 Se 172nd Ave, Vancouver, WA 98684 | 2006-07-25 |
| 1477547040 | Michael A Krueger | Family Medicine | 3329 N Richmond St, Appleton, WI 54911-1063 | 2005-09-09 |
| Street Address |
1107 E 42ND ST LOWES PHARMACY #36 |
| City | ODESSA |
| State | TX |
| Zip Code | 79762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407974884 | Wilton Earl Youngblood | Pharmacist | 1107 E 42nd St, Odessa, TX 79762 | 2007-03-26 |
| 1831259076 | Pay and Save Inc | Pharmacy | 1107 E 42nd St, Odessa, TX 79762-7723 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| 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 |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1871193862 | Kayla M Roossinck | Pharmacist | 4230 Jbs Pkwy, Odessa, TX 79762-8153 | 2020-10-28 |
| 1184248452 | Lindsay Georgestone | Pharmacist | 8001 Brownstone Rd Apt 527, Odessa, TX 79765-8724 | 2020-06-02 |
| 1275176554 | Prashnanth Burguru | Pharmacist | 7 Glass Ranch Rd, Odessa, TX 79765-2259 | 2019-10-19 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1841682101 | Vina Thakor Amin | Pharmacist | 17649 Gunn Hwy, Odessa, FL 33556-1912 | 2015-02-24 |
| 1295158863 | Gerald Brian Meyer | Pharmacist | 700 N Grant Ave Ste 150, Odessa, TX 79761-4535 | 2014-02-01 |
| 1932534336 | Gavyn Thomas | Pharmacist | 4513 Esmond Drive, Apt 509, Odessa, TX 79762 | 2013-09-05 |
| 1083047005 | Holly Trantham | Pharmacist | 1707 West 8th Street, Odessa, TX 79763-3423 | 2013-08-13 |
| Find all providers in ODESSA | ||||
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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.