MR. ROBERT WALTER FILLMORE (NPI# 1215269477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215269477 |
| Entity Type | Individual |
| Full Name | MR. ROBERT WALTER FILLMORE |
| Credential | RPH |
| Practice Address |
5135 Gratiot Rd Saginaw MI 48638-6032 |
| Practice Telephone | 9897970990 |
| Practice Fax Number | 9897939896 |
| Mailing Telephone | 9897970990 |
| Mailing Fax Number | 9897939896 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302020444 | MI | Pharmacy Service Providers |
| Street Address |
5135 GRATIOT RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-6032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| 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 |
|---|---|---|---|---|
| 1457837015 | Shiva R Peddireddy | Pharmacist | 200 Wj Boaz Rd Ste 100, Saginaw, TX 76179-1290 | 2018-07-17 |
| 1851709547 | Sarah Lynn Klingler | Pharmacist | 5210 Prestwick Ct, M12, Saginaw, MI 48603-7911 | 2014-07-26 |
| 1922356591 | Murali C Ginjupalli | Pharmacist | 2897 Churchhill Ln, Saginaw, MI 48603-2693 | 2012-08-29 |
| 1114273539 | Leo M Dark | Pharmacist | 3177 Setting Sun Blvd, Saginaw, MI 48603-5211 | 2012-08-03 |
| 1881975548 | Lalit Mahajan | Pharmacist | 3424 E Genesee Ave, Saginaw, MI 48601-4211 | 2011-09-07 |
| 1114217924 | James Mark Schlicker | Pharmacist | 1470 Tittabawasse Rd, Saginaw, MI 48601 | 2011-04-13 |
| 1033408562 | Ann Hetzner | Pharmacist | 5050 Gratiot Rd, Saginaw, MI 48638-6030 | 2011-04-05 |
| 1023307717 | Jeffrey Joseph Franson | Pharmacist | 1470 Tittabawassee Rd, Saginaw, MI 48604-1056 | 2011-04-01 |
| 1164721841 | Daniel J Mendyk | Pharmacist | 1510 Delta Dr, Saginaw, MI 48638-4612 | 2011-03-21 |
| 1194956763 | Vaibhavi Sindha | Pharmacist | 3403 E Genesee Ave, Saginaw, MI 48601-4212 | 2009-07-30 |
| Find all providers in SAGINAW | ||||
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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.