DR. JEFFREY ROBERT STULL (NPI# 1639487796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639487796 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ROBERT STULL |
| Credential | PHARMD |
| Practice Address |
350 N Main St Lawton MI 49065-9249 |
| Mailing Address |
Po Box 914 Lawton MI 49065-0914 |
| Practice Telephone | 2696242231 |
| Practice Fax Number | 2696245704 |
| Mailing Telephone | 2696242231 |
| Mailing Fax Number | 2696245704 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302035527 | MI | Pharmacy Service Providers |
| Street Address |
350 N MAIN ST |
| City | LAWTON |
| State | MI |
| Zip Code | 49065-9249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851317820 | Stacey Ann Bennett | Pharmacist | 350 N Main St, Lawton, MI 49065-9249 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326253824 | Tomi Lynn Haas | Technician, Other | 350 N.main St, Lawton, MI 49065 | 2007-05-10 |
| 1104291996 | Patricia Ann Hinckley | Counselor | 71125 26th St, Lawton, MI 49065-5608 | 2015-12-05 |
| 1275032807 | Michigan Therapy Center | Counselor | 60565 Springhaven Ct, Lawton, MI 49065-7687 | 2018-02-09 |
| 1164976122 | Jenna Maury | Technician, Other | 26544 66th Ave, Lawton, MI 49065-8504 | 2016-08-08 |
| 1992154439 | Jamie Barnett | Home Health Aide | 210 Morrill St, Lawton, MI 49065-8722 | 2016-06-06 |
| 1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
| 1609030162 | Sandy J Waite | Social Worker | 34010 88th Ave, Lawton, MI 49065-9302 | 2008-07-14 |
| 1275864464 | Robin Edward Feringa | Radiologic Technologist | 76181 33rd St, Lawton, MI 49065-9343 | 2010-01-27 |
| 1003244773 | White Oaks Retirement Residence, Inc | Alzheimer Center (Dementia Center) | 300 White Oak Rd, Lawton, MI 49065-9541 | 2013-10-16 |
| 1053791988 | Care Community Lawton | Respite Care | 99 Walker St, Lawton, MI 49065-9703 | 2015-06-05 |
| Find all providers in zip 49065 | ||||
| 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 |
|---|---|---|---|---|
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1336614650 | Lucas Coody | Pharmacist | 5366 Nw Cache Rd Ste 1, Lawton, OK 73505-3353 | 2018-10-13 |
| 1336413053 | James Lynch | Pharmacist | 81 Deerfield Rd, Lawton, OK 73507-9072 | 2012-02-27 |
| 1801166806 | Leeann Cox | Pharmacist | 1823 W Gore Blvd, Lawton, OK 73501-3644 | 2012-01-06 |
| 1619258233 | Louann Woods | Pharmacist | 401 N. Sheridan, Lawton, OK 73505 | 2011-09-09 |
| 1700167798 | Michael Baxter Galloway | Pharmacist | 1601 Ne 35th St, Lawton, OK 73507-3436 | 2011-09-02 |
| 1003197393 | Lisa Elliott Sharp | Pharmacist | 723 Nw Heinzwood Cir, Lawton, OK 73505-4950 | 2011-08-31 |
| 1619257169 | Ngoc-phuong T Nguyen | Pharmacist | 1107 Sw Lee Blvd, Lawton, OK 73501-5605 | 2011-08-27 |
| 1407178239 | Melissa Covington De Eid | Pharmacist | 1050 Nw 38th St, Lawton, OK 73505-3704 | 2010-02-21 |
| 1295955151 | Valarie Jean Eck | Pharmacist | 501 Se Flower Mound Rd, Lawton, OK 73501-6388 | 2007-04-25 |
| Find all providers in LAWTON | ||||
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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.