ANGELA LYNN DAUGHERTY


Address: 1800 S Jefferson Ave, Lebanon, MO 65536-4208
Phone: 4175327148

ANGELA LYNN DAUGHERTY (NPI# 1417372376) 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) 1417372376
Entity Type Individual
Full Name ANGELA LYNN DAUGHERTY
Credential PHARM.D.
Practice Address 1800 S Jefferson Ave
Lebanon
MO 65536-4208
Practice Telephone 4175327148
Practice Fax Number 4175322631
Mailing Telephone 4175327148
Mailing Fax Number 4175322631
Enumeration Date 2014-02-28
Last Update Date 2014-02-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 044865 MO Pharmacy Service Providers

Other Providers ANGELA DAUGHERTY

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1437669165 Angela Nicole Daugherty Nurse Practitioner 106 Blanca Ave, Alamosa, CO 81101-2340 2017-10-09
1285154740 Angela Dawn Daugherty Registered Nurse 509 E Highway 33, Perkins, OK 74059-4129 2017-06-26
1770761926 Angela L. Daugherty Social Worker 100 Parker Ct, Chardon, OH 44024-1141 2008-02-08

Office Location

Street Address 1800 S JEFFERSON AVE
City LEBANON
State MO
Zip Code 65536-4208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417974833 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 1800 S Jefferson Ave, Lebanon, MO 65536-4208 2006-07-16
1386244531 Nicholas Haden Pharmacist 1800 S Jefferson Ave, Lebanon, MO 65536-4208 2020-10-27
1538584446 Nancy J Butler Pharmacist 1800 S Jefferson Ave, Lebanon, MO 65536-4208 2014-02-28
1639508286 Melanie Darrow Pharmacist 1800 S Jefferson Ave, Lebanon, MO 65536-4208 2013-11-04
1912080557 Wal-mart Stores East, Lp Technician/Technologist 1800 S Jefferson Ave, Lebanon, MO 65536-4208 2006-10-24
1578570917 Michael Norman Sommers Optometrist 1800 S Jefferson Ave, Lebanon, MO 65536-4208 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427537307 Cathy Jane Greenlee Nurse Practitioner 510 Hwy 32, Lebanon, MO 65536 2018-08-10
1396232831 Steven Michael Majdecki Counselor 860 Lynn St., Lebanon, MO 65536 2018-04-19
1447629399 Danielle Craig Speech-Language Pathologist 1200 Clark Ave, Lebanon, MO 65536 2015-09-22
1982080255 Dawn Barker Family Medicine 331 Hospital Dr Ste C, Lebanon, MO 65536 2015-08-10
1194163840 Laura Patton Speech-Language Pathologist 22864 Perimeter Drive, Lebanon, MO 65536 2013-06-04
1750588273 Elaine Britzman Registered Nurse 874 S Jefferson St, Lebanon, MO 65536 2007-06-28
1538363486 Laclede Co. Assoc. for Retarded Citizens Respite Care 200 Lawson Ave., Lebanon, MO 65536 2007-06-13
1568665768 Fern M Klein Registered Nurse 874 S Jefferson, Lebanon, MO 65536 2007-06-06
1639201080 Laclede County Assoc. for Retarded Citizens Day Training, Developmentally Disabled Services 200 Lawson Avenue, Lebanon, MO 65536 2007-03-12
1316078868 Michael Montgomery Od PC Optometrist 279 E Elm, Lebanon, MO 65536 2007-03-08
Find all providers in zip 65536

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114541174 Nextdoor Drug Pharmacist 932 W Main St, Lebanon, VA 24266 2020-06-04
1265063507 Melyssia Marzerka Pharmacist 85 Mechanic St Ste C3-3, Lebanon, NH 03766-1537 2020-01-27
1831745439 Amanda B Elkins Pharmacist 75 Oak Lawn Cir, Lebanon, VA 24266-6600 2019-08-11
1033560156 Dianne L Gianakos Pharmacist 16 Chrystal Dr, Lebanon, NJ 08833-3245 2016-06-30
1083064836 Charles Roberts II Pharmacist 597 Donald C. Moore Drive, Lebanon, VA 24266 2016-06-13
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1386014124 Ashley Sanders Pharmacist 101 Woodland Dr, Lebanon, VA 24266-5366 2015-10-06
1962879676 April Ballentine Pharmacist 19 North Mechanic St, Lebanon, OH 45036 2015-08-28
1982088985 Troy Alan Miller Pharmacist 12 Centerra Pkwy Ste 10, Lebanon, NH 03766-1411 2015-07-20
1457782237 Sandra Empey Pharmacist 363 Philadelphia Rd, Lebanon, TN 37087-8108 2013-12-04
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 65536

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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