DAN MCHAN (NPI# 1649367335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649367335 |
| Entity Type | Individual |
| Full Name | DAN MCHAN |
| Credential | RPHPHD |
| Practice Address |
103 E Broadway Bolivar MO 65613-1621 |
| Practice Telephone | 4173267666 |
| Practice Fax Number | 4177778073 |
| Mailing Telephone | 4173267666 |
| Mailing Fax Number | 4177778073 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 006087 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600135305 | 05 |
| Street Address |
103 E BROADWAY |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063557874 | Dan Mchan Store In | Pharmacist | 103 E Broadway, Bolivar, MO 65613-1621 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| 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 |
|---|---|---|---|---|
| 1861868465 | Elizabeth Ashley Willis | Pharmacist | 1355 W Market St, Bolivar, TN 38008-1715 | 2015-08-18 |
| 1083919005 | Hope Caples Parker | Pharmacist | 109 Tennessee St, Bolivar, TN 38008-1822 | 2011-01-22 |
| 1972749794 | Sonja Lynn Obryan | Pharmacist | 1885 E Thornridge Dr, Bolivar, MO 65613-1283 | 2008-12-29 |
| 1952503914 | Leigh Boston Cummings | Pharmacist | 622 W Market St Ste 200, Bolivar, TN 38008-2241 | 2007-06-01 |
| 1437261062 | Sno White-benson | Pharmacist | 1100 S. Springfield Suite A, Suite 1, Bolivar, MO 65613-0158 | 2006-08-31 |
| 1932175965 | Jeff Sparks | Pharmacist | 2000b S Springfield Ave, Bolivar, MO 65613-9654 | 2006-02-28 |
| 1710591193 | John R Myers II | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2020-09-03 |
| 1912511296 | Robert Wilkins | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2020-09-03 |
| 1568070217 | Cameron Tyler Hargrove | Pharmacist | 1604 W Market St, Bolivar, TN 38008-1536 | 2020-07-20 |
| 1558838466 | Steven M Coleman | Pharmacist | 2451 S Springfield Ave, Bolivar, MO 65613-9123 | 2018-10-29 |
| Find all providers in BOLIVAR | ||||
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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.