JENNIFER CONRAD (NPI# 1457626384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457626384 |
| Entity Type | Individual |
| Full Name | JENNIFER CONRAD |
| Credential | RPH |
| Practice Address |
7776 Winghaven Blvd O Fallon MO 63368-3601 |
| Mailing Address |
9 Post Oak Dr Saint Peters MO 63376-3710 |
| Practice Telephone | 6362652924 |
| Practice Fax Number | 6362652927 |
| Mailing Telephone | 6362944544 |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2004005634 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730667213 | Jennifer M Conrad | Early Intervention Provider Agency | 24 Neptune Pl, Massapequa, NY 11758-7628 | 2018-08-06 |
| 1891221552 | Jennifer Conrad | Speech-Language Pathologist | 906 Palora Cir, Nebraska City, NE 68410-3371 | 2017-05-02 |
| 1427474972 | Jennifer Ann Conrad | Nurse Practitioner | 41755 Heller Springs Rd, Anza, CA 92539-8846 | 2014-03-07 |
| 1043853468 | Jennifer Nicole Conrad | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-10-18 |
| 1124512769 | Jennifer Conrad | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
| 1326584210 | Jennifer Conrad | Physical Therapist | 111 Perrymont Rd, Pittsburgh, PA 15237-5246 | 2017-01-16 |
| 1841567054 | Jennifer Jayne Conrad | Pharmacist | 330 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2011-11-17 |
| 1346476371 | Jennifer Ann Conrad | Dental Hygienist | 1205 W Mcdermott Dr, Allen, TX 75013-6305 | 2009-06-04 |
| 1346466471 | Jennifer Ann Horan Conrad | Social Worker | 155 Inverness Dr W, Englewood, CO 80112-5095 | 2007-04-17 |
| 1528197910 | Jennifer L Conrad | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2007-03-03 |
| Street Address |
7776 WINGHAVEN BLVD |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043758113 | Sharlene Powers | Pharmacist | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2017-02-08 |
| 1710320668 | Randolph Patrick Powers | Pharmacist | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2013-04-10 |
| 1255687398 | Powers Family Pharmacy LLC | Pharmacy | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| 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 |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1376194134 | Michael Charles Cornwall | Pharmacist | 21 Shallowbrook Dr, O Fallon, IL 62269-1214 | 2019-09-24 |
| 1023594249 | Brandon Frey | Pharmacist | 907 E Highway 50, O Fallon, IL 62269-2856 | 2018-07-11 |
| 1235677170 | Shannon Carlisle | Pharmacist | 2605 Mclean Ct, O Fallon, MO 63368-7611 | 2017-02-10 |
| 1558702050 | Katherine Michelle Derickson | Pharmacist | 247 Pheasant Point Blvd, O Fallon, MO 63368-7311 | 2013-07-12 |
| 1013262039 | Charles Smith | Pharmacist | 601 W Falls Ct, O Fallon, MO 63368-9646 | 2012-07-16 |
| 1891071668 | Lisa L Houston | Pharmacist | 24 Sterling Crossing Ct, O Fallon, MO 63368-7367 | 2011-10-25 |
| 1053694158 | Walgreens | Pharmacist | 106 Huntington Crossing Dr, O Fallon, MO 63376-4271 | 2011-09-25 |
| 1366725616 | Anthony P Webb | Pharmacist | 801 Highway K, O Fallon, MO 63366-2996 | 2011-09-23 |
| 1447531645 | Rachel Romano | Pharmacist | 4650 Highway K, O Fallon, MO 63368-8728 | 2011-08-31 |
| Find all providers in O FALLON | ||||
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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.