MRS. WENDY SUE KINKEAD


Address: 105 S Allen St, Centralia, MO 65240-1303
Phone: 5736822155

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 105 S ALLEN ST
City CENTRALIA
State MO
Zip Code 65240-1303

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City CENTRALIA
Zip Code 65240

Improve Information

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Dataset Information

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.

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