SARA TANNER (NPI# 1629224712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629224712 |
| Entity Type | Individual |
| Full Name | SARA TANNER |
| Other Name | SARA NEELY |
| Credential | PHARMD |
| Practice Address |
750 N Broadway Peru IN 46970-1027 |
| Practice Telephone | 7654728900 |
| Practice Fax Number | 7654728999 |
| Mailing Telephone | 7654728900 |
| Mailing Fax Number | 7654728999 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2012-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS44013 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043443344 | Sara S Tanner | Licensed Practical Nurse | 914 N Canal St, Carlsbad, NM 88220-5110 | 2009-09-02 |
| Street Address |
750 N BROADWAY |
| City | PERU |
| State | IN |
| Zip Code | 46970-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326552159 | Steven Dondi Nelson | Social Worker | 750 N Broadway, Peru, IN 46970-1027 | 2017-12-01 |
| 1558684829 | Marion Vamc | Clinic/Center | 750 N Broadway, Peru, IN 46970-1027 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| 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 |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1356552129 | Lawrence Kenneth Shanley | Pharmacist | 2940 Main St, Peru, NY 12972-2926 | 2007-05-24 |
| 1548354053 | Lawrence Ketrick Shanley | Pharmacist | 2 Gorman Way, Peru, NY 12972-0086 | 2006-10-02 |
| 1275133787 | Tina Marie Dominy | Pharmacist | 5307 State Route 251, Peru, IL 61354-9313 | 2020-10-26 |
| 1205447281 | Alyssa Butkiewicz | Pharmacist | 1033 Shooting Park Rd, Peru, IL 61354-1870 | 2020-08-12 |
| 1689299620 | Mytreyi Varre | Pharmacist | 720 N Broadway, Peru, IN 46970-1027 | 2020-06-16 |
| 1669093738 | Jessica Marie Dyson | Pharmacist | 2 S Broadway, Peru, IN 46970-2232 | 2020-04-30 |
| 1023472131 | Rachel Connolly | Pharmacist | 3 Gorman Way, Peru, NY 12972-3060 | 2016-04-06 |
| 1477943280 | Morris Pearson Jr. | Pharmacist | 720 N Broadway, Peru, IN 46970-1027 | 2015-02-01 |
| 1720480171 | Blaire Kirsten Bell | Pharmacist | 930 W Main St, Peru, IN 46970 | 2014-09-17 |
| Find all providers in PERU | ||||
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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.