STACEY BANE (NPI# 1306373782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306373782 |
| Entity Type | Individual |
| Full Name | STACEY BANE |
| Credential | PHARMD |
| Practice Address |
415 Mulberry Street Evansville IN 47713 |
| Mailing Address |
9902 Misty Layne Haubstadt IN 47639 |
| Practice Telephone | 8124223448 |
| Mailing Telephone | 8127796574 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26021707A | IN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 415 Mulberry Street, Evansville, IN 47713 | 8124223448 |
| Street Address |
415 MULBERRY STREET |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700827755 | Mayola Rowser | Nurse Practitioner | 415 Mulberry Street, Evansville, IN 47113-1230 | 2006-06-09 |
| 1205160603 | Donna C. Culley | Psychologist | 415 Mulberry Street, Evansville, IN 47713-1230 | 2009-10-01 |
| 1871739326 | Rebecca Trapp | Case Manager/Care Coordinator | 415 Mulberry Street, Evansville, IN 47713-1230 | 2009-01-05 |
| 1871739037 | Gary Wagoner | Case Manager/Care Coordinator | 415 Mulberry Street, Evansville, IN 47713-1230 | 2008-12-18 |
| 1508025024 | Jennifer L. Singleton | Social Worker | 415 Mulberry Street, Evansville, IN 47713-1230 | 2008-06-09 |
| 1528226768 | Bonnie J Carroll | Registered Nurse | 415 Mulberry Street, Evansville, IN 47713-1230 | 2008-05-23 |
| 1780841064 | Jagail D Greenley | Registered Nurse | 415 Mulberry Street, Evansville, IN 47713-1230 | 2008-05-22 |
| 1972770980 | Hannah Smith Quirey | Social Worker | 415 Mulberry Street, Evansville, IN 47713-1230 | 2008-05-09 |
| 1487821492 | Kamala Barton | Registered Nurse | 415 Mulberry Street, Evansville, IN 47713-1230 | 2008-05-09 |
| 1164699260 | Christina M Utterback | Social Worker | 415 Mulberry Street, Evansville, IN 47713-1230 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1740632538 | Stephanie Gardner | Nurse Practitioner | 315 Mulberry St, Evansville, IN 47713 | 2016-07-06 |
| Find all providers in zip 47713 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773169 | Amy Epley | Pharmacist | 350 W Columbia St Ste 210, Evansville, IN 47710-1782 | 2019-11-04 |
| 1326472226 | Merrideth Gilley | Pharmacist | 6211 Waterford Blvd, Evansville, IN 47715-2869 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816766 | Kimberlee Chilcote | Pharmacist | 8275 Allison Pointe Trl Ste 370, Indianapolis, IN 46250-4298 | 2020-06-17 |
| 1700413721 | Damar Pharmacy Services LLC | Pharmacist | 5715 Decatur Blvd, Indianapolis, IN 46241-9561 | 2020-03-27 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1811537095 | Marla Ann Carroll | Pharmacist | 815 Highlander Point Drive, Floyds Knobs, IN 47119 | 2020-01-15 |
| 1508404815 | Shelli Ann Bulach | Pharmacist | 1034 Sr 229 North, Batesville, IN 47006 | 2019-12-17 |
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1093218489 | Sparkle Box | Pharmacist | 1908 Bluebird Ln, Munster, IN 46321-3429 | 2018-03-13 |
| 1194150490 | Janet Redmond | Pharmacist | 6911 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2013-09-05 |
| 1962751446 | Robert L Plant | Pharmacist | 3602 New Vision Drive, Fort Wayne, IN 46845 | 2012-08-30 |
| 1235497488 | Elise Anne Mccuiston | Pharmacist | 451 S Landmark Ave, Bloomington, IN 47403-5004 | 2012-04-25 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
Please comment or provide details below to improve the information on STACEY BANE.
| 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.