BRAD BAZO (NPI# 1407342447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407342447 |
| Entity Type | Individual |
| Full Name | BRAD BAZO |
| Credential | PHARMD |
| Practice Address |
2051 N State St Iola KS 66749 |
| Mailing Address |
505 N Kentucky St Iola KS 66749-2533 |
| Practice Telephone | 6203806400 |
| Mailing Telephone | 6202283349 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2019-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1-106216 | KS | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3011 N Michigan St, Pittsburg, KS 667622546 | 6202312681 |
| Street Address |
2051 N STATE ST |
| City | IOLA |
| State | KS |
| Zip Code | 66749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587685 | Glen D Singer | Family Medicine | 2051 N State St, Iola, KS 66749 | 2005-06-08 |
| 1790396513 | Sarah Rainee Bahr | Counselor | 2051 N State St, Iola, KS 66749-1677 | 2020-08-14 |
| 1134743354 | Candace Blanks | Dental Hygienist | 2051 N State St, Iola, KS 66749-1677 | 2020-06-03 |
| 1407328354 | Nicole L Montee | Dental Hygienist | 2051 N State St, Iola, KS 66749-1677 | 2018-12-17 |
| 1811462377 | Amy Haney | Social Worker | 2051 N State St, Iola, KS 66749-1677 | 2018-10-10 |
| 1093114076 | Amy L Hunt | Physician Assistant | 2051 N State St, Iola, KS 66749-4402 | 2014-08-15 |
| 1720412091 | Reina L Wilson | Dental Hygienist | 2051 N State St, Iola, KS 66749-1677 | 2013-08-22 |
| 1609025485 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 2051 N State St, Iola, KS 66749 | 2008-09-16 |
| 1932376910 | David Conrad Andersen | Dentist | 2051 N State St, Iola, KS 66749 | 2008-05-09 |
| 1609835446 | Charles Joseph Wanker | Family Medicine | 2051 N State St, Iola, KS 66749 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346733714 | Community Health Center of Southeast Kansas, Inc. | Pharmacy | 2051 N. State St, Iola, KS 66749 | 2018-06-11 |
| 1215471008 | Jennelle Knight | Pharmacist | 2051 N State Street, Iola, KS 66749 | 2016-12-13 |
| 1679940340 | Kari Miller | Marriage & Family Therapist | 118 W Jackson Ave, Iola, KS 66749 | 2015-08-28 |
| 1396168365 | Rachel R Harrington | Counselor | 726 W. Patterson Avenue, Iola, KS 66749 | 2014-01-28 |
| 1841630597 | Ryan N Coffield Dds Pa | Dentist | 415 N Washington Ave., Iola, KS 66749 | 2013-06-26 |
| 1285999722 | Jaime M Westervelt | Counselor | 602 S. State Street, Iola, KS 66749 | 2012-07-11 |
| 1477825388 | Jarrod L Reichelt | Psychologist | 304 N. Jefferson St., Iola, KS 66749 | 2012-02-08 |
| 1184854168 | Ryan Nicholas Coffield | Dentist | 415 N. Washington Ave, Iola, KS 66749 | 2009-07-23 |
| 1134362015 | Sarah Evelyn Bradshaw | Allergy & Immunology | 401 S. Washington Avenue, Iola, KS 66749 | 2009-04-08 |
| 1952453573 | Nathan A Fawson | Psychologist | 304 N Jefferson, Iola, KS 66749 | 2007-01-16 |
| Find all providers in zip 66749 | ||||
| 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 |
|---|---|---|---|---|
| 1215471008 | Jennelle Knight | Pharmacist | 2051 N State Street, Iola, KS 66749 | 2016-12-13 |
| 1750834453 | Morgan Dieker | Pharmacist | 109 E Madison Ave, Iola, KS 66749-3330 | 2016-07-28 |
| 1093188450 | Lisa Whitney | Pharmacist | 2200 N State St, Iola, KS 66749-1636 | 2015-11-06 |
| 1205214376 | Jenel R Eisenbart | Pharmacist | 2200 N State St, Iola, KS 66749-1636 | 2015-05-11 |
| 1467856369 | Rebecca Stephenson | Pharmacist | 2200 N State St, Iola, KS 66749-1636 | 2014-10-21 |
| 1255440293 | Sweet Medicine Prescriptions Plus Inc | Pharmacist | 155 N Main St, Iola, WI 54945 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022794 | Lauren Tenold | Pharmacist | 8913 W 131st St, Overland Park, KS 66213-3607 | 2020-11-01 |
| 1740888700 | Shannon Poell | Pharmacist | 1500 W 10th St, Topeka, KS 66604 | 2020-10-13 |
| 1255946513 | Kelly Robertson | Pharmacist | 3901 Rainbow Blvd # Ms 4040, Kansas City, KS 66160-8500 | 2020-09-14 |
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1205447984 | Brooke Nichole Steiner | Pharmacist | 21702 W 58th St, Shawnee, KS 66218-8933 | 2020-08-14 |
| 1245840313 | Matthew Kirmse | Pharmacist | 2860 Sw Mission Woods Dr Ste A2, Topeka, KS 66614-5604 | 2020-08-04 |
| 1043829104 | Paul George Sampson | Pharmacist | 620 Birch St, Wakefield, KS 67487-9032 | 2020-07-24 |
| 1770191132 | Glenn Kruk | Pharmacist | 2205 Buckner Dr, Manhattan, KS 66503-2159 | 2020-07-21 |
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1164046736 | Jeffrey Lewis | Pharmacist | 705 Arkansas St Apt B, Lawrence, KS 66044-2350 | 2020-05-29 |
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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.