KAITLYN LABOUBE (NPI# 1619577491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619577491 |
| Entity Type | Individual |
| Full Name | KAITLYN LABOUBE |
| Credential | PHARM. D. |
| Practice Address |
100 Ozark Dr Cuba MO 65453-1664 |
| Practice Telephone | 5738852515 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2017026907 | MO | Pharmacy Service Providers |
| Street Address |
100 OZARK DR |
| City | CUBA |
| State | MO |
| Zip Code | 65453-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338301 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 Ozark Dr, Cuba, MO 65453-1664 | 2006-07-16 |
| 1043811169 | Thomas Edward Diehl | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2020-11-04 |
| 1669073011 | Max Ruvinov | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2020-11-03 |
| 1366043846 | Jordan Robertson | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2020-11-03 |
| 1659971471 | Hollie Lovell | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2020-10-30 |
| 1073934824 | Michael Counts | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2013-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365693 | Mary Frances Tatkenhorst | Counselor | 1200 Martin St Unit 2, Cuba, MO 65453 | 2018-02-05 |
| 1194112946 | Tamara Cooks | Pediatrics | 102 Ozark Dr Ste B, Cuba, MO 65453 | 2015-04-20 |
| 1033406434 | Sj Black Investments LLC | Chiropractor | 501a South Franklin Street, Cuba, MO 65453 | 2011-07-06 |
| 1427209667 | Monica Hutchison | Counselor | 1373 Windle Road, Cuba, MO 65453 | 2008-10-07 |
| 1164612818 | Healthnet Regional Center of Cuba, Inc.. | Clinic/Center | 108 Buchanan, Cuba, MO 65453 | 2007-07-30 |
| 1962523779 | Richard A Money | Social Worker | Stubblefield Care Ctr, 5349 Hwy P, Cuba, MO 65453 | 2007-04-02 |
| 1841338936 | Christopher C. Conger | Family Medicine | 105n Lawrence, Cuba, MO 65453 | 2007-02-02 |
| 1205989670 | Frank Puc | Pediatrics | 4400 W 95th Street, Suite 104, Oak Lawn, IL 65453 | 2007-01-19 |
| 1184731671 | Sandy Hagene | Nurse Practitioner | 102 Ozark Dr, Cuba, MO 65453 | 2006-08-23 |
| 1467643502 | Victorian Manor of Cuba Inc | Assisted Living Facility | 901 Hwy Dd, Cuba, MO 65453-0901 | 2007-08-05 |
| Find all providers in zip 65453 | ||||
| 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 |
|---|---|---|---|---|
| 1346881117 | Jamie Mabe | Pharmacist | 330 N Franklin St, Cuba, MO 65453-1717 | 2019-10-03 |
| 1043811169 | Thomas Edward Diehl | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2020-11-04 |
| 1669073011 | Max Ruvinov | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2020-11-03 |
| 1366043846 | Jordan Robertson | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2020-11-03 |
| 1659971471 | Hollie Lovell | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2020-10-30 |
| 1528676004 | Shayla M Farris | Pharmacist | 200 N Franklin St, Cuba, MO 65453-1705 | 2020-07-21 |
| 1760870471 | Alyssa Griffin Velez | Pharmacist | 2 Center St, Cuba, NY 14727-1002 | 2015-01-03 |
| 1073934824 | Michael Counts | Pharmacist | 100 Ozark Dr, Cuba, MO 65453-1664 | 2013-12-20 |
| 1316284698 | Carl John Lewandowski | Pharmacist | 10 W Main St, Cuba, NY 14727-1404 | 2013-01-07 |
| 1134441454 | Eric Richard Jordan | Pharmacist | 2 Center St, Cuba, NY 14727-1002 | 2010-03-01 |
| Find all providers in CUBA | ||||
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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.