CHERRYL DAIGRE CORDUM (NPI# 1225429426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225429426 |
| Entity Type | Individual |
| Full Name | CHERRYL DAIGRE CORDUM |
| Credential | R.PH |
| Practice Address |
4447 Brass Way Dallas TX 75236-2001 |
| Practice Telephone | 2143312268 |
| Mailing Telephone | 2143312268 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N0905X |
Pharmacist Specialization: Nuclear |
32610 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA STATE BOARD OF PHARMACY | 16011 | 01 |
| Street Address |
4447 BRASS WAY |
| City | DALLAS |
| State | TX |
| Zip Code | 75236-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780075986 | Iba Molecular North America, Inc | Pharmacy | 4447 Brass Way, Dallas, TX 75236-2001 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952805962 | Braken Group, LLP | Clinic/Center | 6431 Rosalie Dr, Dallas, TX 75236 | 2018-03-23 |
| 1952732398 | Shauna Jones | Military Hospital | 4504 Bronzeway, Dallas, TX 75236 | 2013-12-11 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1295857902 | Patricia A Welborn | Physician Assistant | 5701 W Kiest Blvd, Dallas, TX 75236-1047 | 2007-04-04 |
| 1871757401 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5701 W Kiest Blvd, Dallas, TX 75236-1047 | 2008-07-13 |
| 1700409026 | Earl Mark Green | Counselor | 4621 Country Creek Dr Apt 1044, Dallas, TX 75236-1220 | 2020-05-20 |
| 1659517829 | Eagle Advantage Academy, Inc. | Local Education Agency (LEA) | 4011 Joseph Hardin Dr Ste F, Dallas, TX 75236-1507 | 2008-12-18 |
| 1972700995 | James Robert Auvil | Optometrist | 3911 S Walton Walker Blvd, Dallas, TX 75236-1509 | 2007-07-02 |
| 1558698068 | Aafes Optometry (kadena) | Clinic/Center | 3911 S Walton Walker Blvd, Fa-c/or, Dallas, TX 75236-1509 | 2009-11-05 |
| 1750726345 | Laura V Settlage | Registered Nurse | 5222 Whispering Oaks Dr, Dallas, TX 75236-1740 | 2013-05-08 |
| Find all providers in zip 75236 | ||||
| Taxonomy Code | 1835N0905X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nuclear |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417201286 | Specialty Pharmacy Services, Inc. | Pharmacist | 2006 S 1st St, Suite C, Temple, TX 76504-7450 | 2012-11-01 |
| 1831265610 | Bala S Nadesan | Pharmacist | 203 W Avenue U, Temple, TX 76504-7426 | 2006-11-25 |
| 1215276613 | Vu Dang | Pharmacist | 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200 | 2013-02-05 |
| 1114203171 | Peace Umoh-thomas | Pharmacist | 5161 Franz Rd, Katy, TX 77493-1754 | 2011-10-21 |
| 1467514760 | John Douglas Thomas | Pharmacist | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2006-12-14 |
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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.