CARISSA CHRISTIE (NPI# 1417569930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417569930 |
| Entity Type | Individual |
| Full Name | CARISSA CHRISTIE |
| Other Name | CARISSA HURT |
| Credential | PHARMD |
| Practice Address |
1000 Military Ave Baxter Springs KS 66713-1547 |
| Practice Telephone | 6208565858 |
| Practice Fax Number | 6208563976 |
| Mailing Telephone | 6208565858 |
| Mailing Fax Number | 6208563976 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 13480 | OK | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 2007023329 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 1-13528 | KS | Pharmacy Service Providers |
| Street Address |
1000 MILITARY AVE |
| City | BAXTER SPRINGS |
| State | KS |
| Zip Code | 66713-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457392888 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 Military Ave, Baxter Springs, KS 66713-1547 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144266859 | James C Eaton | Family Medicine | 322 E 11th St, Baxter Springs, KS 66713 | 2006-06-21 |
| 1376637157 | Cherokee County Ambulance Assoc. Dist. IIi | Ambulance | 311 Military Avenue, Baxter Springs, KS 66713-0137 | 2006-10-03 |
| 1629465109 | Monarch Pharmacy | Pharmacy | 1111 Military Ave, Baxter Springs, KS 66713-1509 | 2015-04-22 |
| 1154875714 | Kelly Barnes | Pharmacist | 1111 Military Ave, Baxter Springs, KS 66713-1509 | 2016-08-11 |
| 1588601843 | Tyson L. Burden | Internal Medicine | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2006-06-02 |
| 1063925303 | Legacy Living | Custodial Care Facility | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2017-11-08 |
| 1134437411 | Crystal Marie Taylor | Nurse Practitioner | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2010-09-20 |
| 1366680126 | Burden Medical Clinic LLC | Clinic/Center | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2009-01-30 |
| 1962438457 | St. John's Medical Group | Clinic/Center | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2006-06-25 |
| 1376791335 | Spring Valley Regional Center for Youth, Inc. | Private Vehicle | 217 E 14th St, Baxter Springs, KS 66713-1804 | 2008-09-03 |
| Find all providers in zip 66713 | ||||
| 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 |
|---|---|---|---|---|
| 1154875714 | Kelly Barnes | Pharmacist | 1111 Military Ave, Baxter Springs, KS 66713-1509 | 2016-08-11 |
| 1740699628 | Catherine Lee Smith | Pharmacist | 2970 Military Ave, Baxter Springs, KS 66713-2331 | 2014-08-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BAXTER SPRINGS |
| Zip Code | 66713 |
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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.