MISTY DAWN PEREZ (NPI# 1467761536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467761536 |
| Entity Type | Individual |
| Full Name | MISTY DAWN PEREZ |
| Credential | PHARM D |
| Practice Address |
1909 W Broadway St Clarksville TX 75426-2010 |
| Practice Telephone | 9034272050 |
| Practice Fax Number | 9034272098 |
| Mailing Telephone | 9034272050 |
| Mailing Fax Number | 9034272098 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 47819 | TX | Pharmacy Service Providers |
| Street Address |
1909 W BROADWAY ST |
| City | CLARKSVILLE |
| State | TX |
| Zip Code | 75426-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043395270 | Cvs Pharmacy Inc | Pharmacy | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2006-10-26 |
| 1023248051 | Lisa Bullard Steinheil | Pharmacist | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2009-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691922 | Fpacp Clarksville LLC | Skilled Nursing Facility | 2407 West Main Highway 82, Clarksville, TX 75426 | 2018-03-05 |
| 1225415565 | Hhy, LLC | Clinic/Center | 1805 Industrial Way, Clarksville, TX 75426 | 2015-05-06 |
| 1205235835 | Sandra Michelle Batts | Adult Companion | 205 Lovett, Clarksville, TX 75426 | 2014-08-20 |
| 1548690100 | Brian Agnew | Counselor | 106 N. Mlk, Clarksville, TX 75426 | 2013-11-19 |
| 1528252046 | Thomas Virgil Ragan Jr. | Dentist | 985 Farm Market Rd 1159, Clarksville, TX 75426 | 2007-08-28 |
| 1912914151 | Carrie Diane Hinton | Nurse Practitioner | 106 North Martin Luther King Blvd, Clarksville, TX 75426 | 2006-08-01 |
| 1326077041 | Red River Emergency Medicine Associates Pa | Physician Assistant | 3000 Hwy 82 W, Clarksville, TX 75426 | 2006-07-03 |
| 1922048693 | Kyle J Keeley | Physical Therapist | 2206-b West Main, Hwy 82, Clarksville, TX 75426 | 2006-06-08 |
| 1801367149 | Hhy, LLC | Clinic/Center | 1805 Industrial Way, Clarksville, TX 75426-2564 | 2018-12-16 |
| 1821574013 | Rachel Leah Stanley | Nurse Practitioner | 1805 Industrial Way, Clarksville, TX 75426-2564 | 2018-07-11 |
| Find all providers in zip 75426 | ||||
| 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 |
|---|---|---|---|---|
| 1780294553 | Widad H Mohammed | Pharmacist | 6383 Ten Oaks Rd, Clarksville, MD 21029-1104 | 2020-08-05 |
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1366918120 | Tbony Marie Jewell | Pharmacist | 588 Fire Station Rd Ste F, Clarksville, TN 37043-4091 | 2018-10-19 |
| 1528589280 | Laura Kaitlyn Thomason | Pharmacist | 2896 Sharpie Dr, Clarksville, TN 37040-9509 | 2017-07-03 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1417320367 | Tae Seung Oh | Pharmacist | 5301 Aerie Ct, Clarksville, MD 21029-1103 | 2015-11-01 |
| 1144610809 | Whitney Dulin | Pharmacist | 2197 Madison St Ste 109, Clarksville, TN 37043-5253 | 2015-02-02 |
| 1811301161 | Elizabeth Okang | Pharmacist | 11809 Chapel Woods Ct, Clarksville, MD 21029-1117 | 2014-06-15 |
| 1396086856 | Chiyon Lee | Pharmacist | 6321 Kerne Ct, Clarksville, MD 21029-1558 | 2013-03-08 |
| 1366707424 | Lopa B Patel | Pharmacist | 7319 Meadow Wood Way, Clarksville, MD 21029-1727 | 2012-07-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 75426 |
Please comment or provide details below to improve the information on MISTY DAWN PEREZ.
| 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.