MRS. WENDY SUE KINKEAD (NPI# 1366880148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366880148 |
Entity Type | Individual |
Full Name | MRS. WENDY SUE KINKEAD |
Credential | RPH |
Practice Address |
105 S Allen St Centralia MO 65240-1303 |
Practice Telephone | 5736822155 |
Practice Fax Number | 5736822708 |
Mailing Telephone | 5736822155 |
Mailing Fax Number | 5736822708 |
Enumeration Date | 2013-06-13 |
Last Update Date | 2013-06-13 |
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 |
041993 | MO | Pharmacy Service Providers |
Street Address |
105 S ALLEN ST |
City | CENTRALIA |
State | MO |
Zip Code | 65240-1303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033255179 | Kinkead Pharmacy, Inc. | Pharmacy | 105 S Allen St, Centralia, MO 65240-1303 | 2007-01-29 |
1528406311 | Michael Alan Kinkead | Pharmacist | 105 S Allen St, Centralia, MO 65240-1303 | 2013-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902146442 | Sarah Elizabeth Hall | Counselor | 318 W Barnes St, Centralia, MO 65240 | 2013-02-20 |
1528265725 | Paulus E Lawson Jr. | Dentist | 120 North Allen Street, Centralia, MO 65240 | 2007-06-29 |
1245348572 | Lori Carol Brown | Chiropractor | 201 W Switzler Street, Suite 1, Centralia, MO 65240 | 2006-08-27 |
1790126399 | Andrea Young Willer | Nurse Practitioner | 1021 E Highway 22, Centralia, MO 65240 | 2013-07-11 |
1770637332 | Brown Chiropractic Wellness Center | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2007-01-22 |
1962881136 | Lezlie David | Massage Therapist | 201 W Switzler St, Ste. #1, Centralia, MO 65240-1035 | 2015-05-21 |
1457687386 | Brown Chiropractic Wellness Center & Spa, LLC | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2009-10-28 |
1356675672 | Melanie Dawn Miller Morgret | Massage Therapist | 201 W Switzler St, Centralia, MO 65240-1035 | 2009-09-21 |
1518139542 | Mary Beth Gehringer | Massage Therapist | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2008-03-31 |
1154328953 | Health Services Administration, Inc | Skilled Nursing Facility | 750 E Highway 22, Centralia, MO 65240-1146 | 2005-07-07 |
Find all providers in zip 65240 |
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 |
---|---|---|---|---|
1487053229 | Kathryn Haproff | Pharmacist | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2014-08-18 |
1528406311 | Michael Alan Kinkead | Pharmacist | 105 S Allen St, Centralia, MO 65240-1303 | 2013-06-13 |
1033472089 | David Allen Dietrick | Pharmacist | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2012-06-22 |
1124387030 | James A Matoza | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2012-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
1538647250 | Brian D Davis | Pharmacist | 600 Winding Oaks Pl, Ballwin, MO 63021-7379 | 2018-08-03 |
1144718313 | Eddy Airiohuodion | Pharmacist | 8629 E Utopia Pkwy Apt 11, Raytown, MO 64138-5307 | 2018-04-24 |
1770085987 | Brigid Farrar | Pharmacist | 440 E Tampa St # 100, Springfield, MO 65806-1131 | 2018-03-03 |
1104347277 | Blake William Baumann | Pharmacist | 2301 Homes St, Kansas City, MO 64108 | 2017-06-29 |
1497280523 | Scott Strassels | Pharmacist | 8002 Davis Dr, Clayton, MO 63105-2529 | 2017-04-26 |
1942682604 | Shane Austin | Pharmacist | 8660 Old Bonhomme Rd Apt B, Saint Louis, MO 63132-3936 | 2015-06-18 |
1255735015 | Surendra R Patel | Pharmacist | 333 Solar Terrace Ct, Chesterfield, MO 63017-2499 | 2014-10-22 |
1093131500 | Chessa Nyberg | Pharmacist | 410 E Porte Cimi Pas St, Kansas City, MO 64131-2922 | 2014-03-07 |
1063833127 | Brent Tackitt | Pharmacist | 1768 Winding Glen Dr, Saint Charles, MO 63303-5099 | 2013-12-16 |
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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.