MR. RAYMOND CHARLES GROGAN (NPI# 1447524475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447524475 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND CHARLES GROGAN |
| Credential | RPH |
| Practice Address |
650 S Cobb St Palmer AK 99645-6320 |
| Mailing Address |
5341 East Mcdowell Road Wasilla AK 99654 |
| Practice Telephone | 9077614233 |
| Practice Fax Number | 9077614227 |
| Mailing Telephone | 9073736313 |
| Mailing Fax Number | 9077614227 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 727 | AK | Pharmacy Service Providers |
| Street Address |
650 S COBB ST |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013104769 | Kyla Elizabeth Newland | Pharmacist | 650 S Cobb St, Palmer, AK 99645-6320 | 2007-09-26 |
| 1376817445 | Sarah J Schock | Pharmacist | 650 S Cobb St, Palmer, AK 99645-6320 | 2012-03-06 |
| 1235403536 | Katherine Fay Farrington | Pharmacist | 650 S Cobb St, Palmer, AK 99645-6320 | 2012-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| 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 |
|---|---|---|---|---|
| 1750627469 | Douglas George Bartko | Pharmacist | 2850 N Lazy Mountain Dr, Box 550, Palmer, AK 99645-8700 | 2012-12-27 |
| 1770845232 | Michael Fliss | Pharmacist | 36 Meadowbrook Ln, Palmer, MA 01069-1135 | 2012-06-11 |
| 1922309657 | Benjamin Mark Osburn | Pharmacist | 535 W Evergreen Ave, Pioneer Square #14, Palmer, AK 99645-6534 | 2010-11-11 |
| 1881909620 | Jessica R Ouellette | Pharmacist | 1047 Thorndike St, Palmer, MA 01069-1504 | 2010-08-17 |
| 1023347267 | Eileen F Lawrence | Pharmacist | 1422 E Hidden Ranch Loop, Palmer, AK 99645-8336 | 2009-12-17 |
| 1013104769 | Kyla Elizabeth Newland | Pharmacist | 650 S Cobb St, Palmer, AK 99645-6320 | 2007-09-26 |
| 1760465538 | John Gould Mcgilvray | Pharmacist | 1901 North Green Forest Dr., Palmer, AK 99645 | 2005-11-25 |
| 1649798661 | Katherine Ann Anderson | Pharmacist | 8151 E Palmer Wasilla Hwy, Palmer, AK 99645-8468 | 2017-08-30 |
| 1669926275 | Aubrey Nunley | Pharmacist | 571 Main St, Palmer, TN 37365-2531 | 2016-08-11 |
| 1174077788 | Debbie Pancake | Pharmacist | 571 Main St, Palmer, TN 37365-2531 | 2016-08-11 |
| Find all providers in PALMER | ||||
Please comment or provide details below to improve the information on MR. RAYMOND CHARLES GROGAN.
| 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.