DEIDRA EASLEY (NPI# 1548881378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548881378 |
| Entity Type | Individual |
| Full Name | DEIDRA EASLEY |
| Credential | PHARM.D. |
| Practice Address |
2105 E South Blvd Montgomery AL 36116-2409 |
| Practice Telephone | 3342862727 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
36004 | TN | Pharmacy Service Providers |
| Street Address |
2105 E SOUTH BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858640 | Alton Rance Wiggins | Nurse Anesthetist, Certified Registered | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2006-05-17 |
| 1023617016 | Latoshia Donald | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-10-20 |
| 1710592589 | Iyiad Alabdul Razzak | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-09-09 |
| 1487277513 | Stacy Hoffman Glass | Nurse Practitioner | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-05-23 |
| 1700405545 | Nouran Sabbagh | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-04-12 |
| 1083233936 | Maria Soledad Rivera | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-04-10 |
| 1356980072 | Melanie Lowe Hyte | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-12-27 |
| 1083272181 | Amanda Lee Reed | Nurse Practitioner | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-06-03 |
| 1730647918 | Josiah M Matthew Yance | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-03-07 |
| 1073087615 | Christina Breana Murrell | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1306445374 | Liza Pirofsky Kreutzer | Pharmacist | 545 Cotton Gin Rd, Montgomery, AL 36117-3552 | 2020-10-21 |
| 1164021473 | Chris Mallia | Pharmacist | 20168 Eva St, Montgomery, TX 77356-2006 | 2020-10-19 |
| 1144828674 | Logan Douglas Durst | Pharmacist | 9939 Montgomery Rd, Montgomery, OH 45242-5311 | 2020-10-16 |
| 1265051635 | Shayne Kreutzer | Pharmacist | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2020-04-15 |
| 1356980072 | Melanie Lowe Hyte | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-12-27 |
| 1528612942 | Michelle Adams | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2019-07-25 |
| 1114371952 | Ashley Trammell | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2016-04-18 |
| 1568716207 | Central Alabama Pain Management Center, P.C. | Pharmacist | 1709 Forest Ave, Montgomery, AL 36106-1543 | 2012-11-02 |
| 1326313628 | Cassie Moss Boyd | Pharmacist | 101 S Union St, Montgomery, AL 36130-3022 | 2012-03-20 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
Please comment or provide details below to improve the information on DEIDRA EASLEY.
| 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.