DR. BROOKE STAYER (NPI# 1427673672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427673672 |
| Entity Type | Individual |
| Full Name | DR. BROOKE STAYER |
| Credential | PHARMD |
| Practice Address |
130 W Ravine Rd Kingsport TN 37660-3837 |
| Mailing Address |
36 Sutter Pl Johnson City TN 37615-4867 |
| Practice Telephone | 4232243111 |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
34332 | TN | Pharmacy Service Providers |
| Street Address |
130 W RAVINE RD |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536997 | Medical Mall Pharmacy Inc | Pharmacy | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2005-05-27 |
| 1598364903 | Kevin White | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-10-19 |
| 1093328460 | Corbin Noah Turbyfill | Registered Nurse | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-08-26 |
| 1871106153 | Garon Rick Compton | Registered Nurse | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-08-26 |
| 1780297010 | Caleb Rumley | Registered Nurse | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-08-26 |
| 1992314587 | Ryan Earl Farmer | Emergency Medicine | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-07-29 |
| 1043837933 | Verna Theola Barton | Pharmacist | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-06-26 |
| 1962028043 | Kendra Lauren O'quinn | Nurse Practitioner | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-06-24 |
| 1982228847 | Jordan Bacon | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-06-05 |
| 1851914600 | Amy F Kite | Pathology | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114178423 | Emma Jane Orr | Pharmacist | 135 West Ravine Road, Wellmont Holston Valley Medical Center Inpatient Pharm., Kingsport, TN 37662 | 2008-10-06 |
| 1518960434 | Billie J Minton | Pharmacist | 1000 E Center St, Ste 200, Kingsport, TN 37660-4973 | 2005-05-24 |
| 1366067795 | Brandie Leblanc | Pharmacist | 113 Cassell Dr, Kingsport, TN 37660-3775 | 2020-06-11 |
| 1205918950 | Joni Foard Sierocinski | Pharmacist | 105 W Stone Dr, Ste 3a, Kingsport, TN 37660-3365 | 2006-10-20 |
| 1336142280 | Medication Management Center, LLC. | Pharmacist | 1000 E Center St, Ste 200, Kingsport, TN 37660-4973 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731086 | Kimberly Terry Mullen | Pharmacist | 1118 W Rye Ct, Murfreesboro, TN 37129-6404 | 2019-07-06 |
| 1558881599 | Nancy Futch | Pharmacist | 318 E College St Ste 102, Dickson, TN 37055-1832 | 2017-06-21 |
| 1588110993 | Johnny Truong | Pharmacist | 700 Westminster Dr, Apt L-7, Franklin, TN 37067-3096 | 2016-08-27 |
| 1952770067 | Mountain States Medical Group | Pharmacist | 1497 W Elk Ave Ste 21, Elizabethton, TN 37643-2896 | 2015-09-18 |
| 1841606175 | Cora Beth Smith | Pharmacist | 100 Covey Dr Ste 204, Franklin, TN 37067-5603 | 2014-07-08 |
| 1215367529 | Gail Feder | Pharmacist | 1520 Horton Ave Apt 216, Nashville, TN 37212-3051 | 2013-11-22 |
| 1316215965 | Samy Said | Pharmacist | 353 British Woods Dr, Nashville, TN 37217-3364 | 2011-12-12 |
| 1205128758 | Pamela L Hall | Pharmacist | 308 S Illinois Ave, Oak Ridge, TN 37830-6740 | 2011-05-03 |
| 1679889612 | Brandy Mcmillin | Pharmacist | 2835 Kirby Rd, Memphis, TN 38119-8209 | 2010-08-27 |
| 1164685442 | Peggy Anne Littmann | Pharmacist | 6911 Haverhill Dr, Knoxville, TN 37909-2614 | 2008-07-07 |
| Find all providers with the same taxonomy | ||||
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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.