DR. STACEY ANIVA THORNTON (NPI# 1215043989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215043989 |
| Entity Type | Individual |
| Full Name | DR. STACEY ANIVA THORNTON |
| Credential | PHARMD |
| Practice Address |
100 S Bliss Ave Tahlequah OK 74464-2512 |
| Practice Telephone | 9184583105 |
| Practice Fax Number | 9184583508 |
| Mailing Telephone | 9184583105 |
| Mailing Fax Number | 9184583508 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
11876 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831158278 | Stacey L Thornton | Obstetrics & Gynecology | 5012 S Us Highway 75 Ste 250, Denison, TX 75020-4587 | 2006-03-23 |
| 1033532270 | Stacey Marie Thornton | Occupational Therapy Assistant | 400 Groton Rd, Ayer, MA 01432-1171 | 2014-01-23 |
| Street Address |
100 S BLISS AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727198 | Owen Buck Gilmore | Family Medicine | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2005-08-10 |
| 1669085049 | Catherine Bailey Mcguffey | Physician Assistant | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-08-26 |
| 1679183404 | Kathryn Nicole Martin | Advanced Practice Midwife | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-08-06 |
| 1548882103 | Stacy Lynn Rutherford | Registered Nurse | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-05-17 |
| 1033739354 | Kelsey Kitchens | Audiologist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-17 |
| 1952930257 | Athena Chatzigiannidis | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
| 1942839394 | Sean Crawford | Student in an Organized Health Care Education/Training Program | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2020-04-07 |
| 1912544735 | Henri Jade Casey | Dentist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-12-01 |
| 1831743624 | Sonny Jefferson James Downing | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-07-30 |
| 1275190688 | Sam Blake Campbell | Dentist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397190 | Ivanne Lynne Chiovoloni | Pharmacist | 855 Markoma Circle, Tahlequah, OK 74464 | 2005-12-20 |
| 1942308648 | Lori Jean Alred | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-09-20 |
| 1417055120 | Joe K Fisher | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-09-20 |
| 1609983915 | Lindsey Renae Marshall | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-08-23 |
| 1972619831 | Carla Guzic | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-08-22 |
| 1699881813 | Kari Elaine Barrett | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-08-21 |
| 1730295213 | Brian Ray Wren | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-08-21 |
| 1699881102 | Dena Ingram | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-08-21 |
| 1265548556 | James Michael Chapple | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-08-21 |
| 1861405060 | Brandon L Taylor | Pharmacist | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-08-15 |
| Find all providers in TAHLEQUAH | ||||
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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.