MRS. STELLA D CADDELL (NPI# 1275678906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275678906 |
| Entity Type | Individual |
| Full Name | MRS. STELLA D CADDELL |
| Credential | DPH |
| Practice Address |
317 S Lindell St Martin TN 38237-2440 |
| Mailing Address |
207 W Chestnut St Puryear TN 38251-5800 |
| Practice Telephone | 7315885138 |
| Practice Fax Number | 7315885137 |
| Mailing Telephone | 7312473096 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | C6056 | TN | Pharmacy Service Providers |
| Street Address |
317 S LINDELL ST |
| City | MARTIN |
| State | TN |
| Zip Code | 38237-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
| 1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
| 1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
| 1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
| 1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
| Find all providers in zip 38237 | ||||
| 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 |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1366944100 | Tammy Rene Boucher | Pharmacist | 536 Parham Rd, Martin, TN 38237-7147 | 2018-03-07 |
| 1174991962 | Charla Lynn Burgett | Pharmacist | 90 Triangle St., Martin, KY 41649 | 2015-09-10 |
| 1336526318 | Chad Michael Kumm | Pharmacist | 119 S 1st Ave., Martin, SD 57551 | 2015-04-29 |
| 1679862478 | Stacia Renee Conley | Pharmacist | 262 Ky Rt 122, Martin, KY 41630 | 2011-04-01 |
| 1700038247 | Leigh Danielle Hamilton | Pharmacist | 262 Ky Route 122, Martin, KY 41649 | 2008-10-15 |
| 1427061134 | Jennifer Mischelle Hall | Pharmacist | 10870 Main Street, Martin, KY 41649 | 2006-08-14 |
| 1396701058 | Becky Capps Teal | Pharmacist | 319 Lindell Street, Martin, TN 38237 | 2006-04-21 |
| 1003870916 | James B Brooks | Pharmacist | 319 Lindell St, Martin, TN 38237 | 2006-04-17 |
| 1568430353 | Michael Gregg Swaim | Pharmacist | 319 S Lindell St, Martin, TN 38237-2440 | 2006-03-09 |
| Find all providers in MARTIN | ||||
Please comment or provide details below to improve the information on MRS. STELLA D CADDELL.
| 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.