MICHAEL RAQUE (NPI# 1588263412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588263412 |
| Entity Type | Individual |
| Full Name | MICHAEL RAQUE |
| Credential | PHARMD |
| Practice Address |
12501 Shelbyville Rd Louisville KY 40243-1530 |
| Practice Telephone | 5022447960 |
| Mailing Telephone | 5022447960 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
013660 | KY | Pharmacy Service Providers |
| Street Address |
12501 SHELBYVILLE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767235 | Kali Moller | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-07-08 |
| 1811513930 | Laurie Gupton | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-06-24 |
| 1598386914 | Jacob Wislocki | Pharmacy Technician | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-04-27 |
| 1730712878 | Daniel Preston Nall | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-02-18 |
| 1770911752 | Marie Jewell | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2013-10-29 |
| 1972783496 | Phelicisima Weaver Roberts | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| 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 |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1841797560 | Bhavyata Parag | Pharmacist | 530 S Jackson St Apt 111, Louisville, KY 40202-1675 | 2018-04-09 |
| 1588910905 | Gayatri Singh | Pharmacist | 900 Eldorado Lane, Louisville, CO 80027-3107 | 2012-08-03 |
| 1083868947 | Esen Apak Stephens | Pharmacist | 9819 White Blossom Blvd, Louisville, KY 40241-4181 | 2008-11-05 |
| 1477154649 | Kristopher Waller | Pharmacist | 3165 S 2nd St, Louisville, KY 40208-1446 | 2020-11-04 |
| 1083214290 | Kristin Scarboro | Pharmacist | 3039 Breckenridge Ln, Louisville, KY 40220-2101 | 2020-10-27 |
| 1811596893 | Melina Irene Digenis | Pharmacist | 9440 Brownsboro Rd, Louisville, KY 40241-1200 | 2020-10-21 |
| 1467051417 | William K Harmon | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
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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.