DR. STACIA RENEE CONLEY (NPI# 1679862478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679862478 |
| Entity Type | Individual |
| Full Name | DR. STACIA RENEE CONLEY |
| Credential | PHARMD |
| Practice Address |
262 Ky Rt 122 Martin KY 41630 |
| Mailing Address |
Po Box 606 Garrett KY 41630-0606 |
| Practice Telephone | 6062859908 |
| Practice Fax Number | 6062859807 |
| Mailing Telephone | 6069462015 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 012120 | KY | Pharmacy Service Providers |
| Street Address |
262 KY RT 122 |
| City | MARTIN |
| State | KY |
| Zip Code | 41630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447541503 | Johnna Brianne Newsome | Pharmacist | 262 Ky Rt 122, Martin, KY 41649 | 2011-04-25 |
| 1083904130 | Jessica Ann Thornsbury | Pharmacist | 262 Ky Rt 122, Martin, KY 41649 | 2011-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225199706 | Kevin Brent Moore | Dentist | 95 Stonecoal Road, Garrett, KY 41630 | 2006-12-12 |
| 1326645466 | Ashley Burke | Nurse Practitioner | 963 Stonecoal Rd, Garrett, KY 41630-8976 | 2020-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886961 | Happy Teeth Pediatric Dentistry | Dentist | 129 Commons Dr, Martin, TN 38237-3882 | 2020-09-22 |
| 1508485178 | Seth Lewis Coleman | Student in an Organized Health Care Education/Training Program | 134 Stella Ruth Rd, Martin, TN 38237-8501 | 2020-04-13 |
| 1629609334 | Kimberly Petenbrink | Technician | 117 Landrum Dr, Martin, GA 30557-2546 | 2020-01-31 |
| 1265072474 | Cristina Maria Davis | Dietitian, Registered | 361 116th Ave, Martin, MI 49070-8702 | 2020-01-15 |
| 1992345045 | Matthew Joseph Granner | Student in an Organized Health Care Education/Training Program | 120 Gene Adams Rd, Martin, TN 38237-8146 | 2020-01-07 |
| 1962053173 | Jaime Neill | Technician | 17139 Highway 17, Martin, GA 30557-3324 | 2019-09-28 |
| 1669028551 | City of Martin Tennessee | Ambulance | 106 Neal St, Martin, TN 38237-2418 | 2019-08-15 |
| 1710531017 | Taylor Leigh Mcfadden | Dentist | 265 Ky Route 122, Suite 2, Martin, KY 41649 | 2019-07-25 |
| 1952967127 | Lauren Mckenzie Hunt | Behavior Technician | 1953 13th St, Martin, MI 49070-8719 | 2019-05-14 |
| 1144788134 | Veronica A White Negron | Registered Nurse | 6120 N Elliston Trowbridge Rd, Martin, OH 43445-9727 | 2019-03-08 |
| Find all providers in MARTIN | ||||
| 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 |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1366944100 | Tammy Rene Boucher | Pharmacist | 536 Parham Rd, Martin, TN 38237-7147 | 2018-03-07 |
| 1174991962 | Charla Lynn Burgett | Pharmacist | 90 Triangle St., Martin, KY 41649 | 2015-09-10 |
| 1336526318 | Chad Michael Kumm | Pharmacist | 119 S 1st Ave., Martin, SD 57551 | 2015-04-29 |
| 1700038247 | Leigh Danielle Hamilton | Pharmacist | 262 Ky Route 122, Martin, KY 41649 | 2008-10-15 |
| 1275678906 | Stella D Caddell | Pharmacist | 317 S Lindell St, Martin, TN 38237-2440 | 2007-02-20 |
| 1427061134 | Jennifer Mischelle Hall | Pharmacist | 10870 Main Street, Martin, KY 41649 | 2006-08-14 |
| 1396701058 | Becky Capps Teal | Pharmacist | 319 Lindell Street, Martin, TN 38237 | 2006-04-21 |
| 1003870916 | James B Brooks | Pharmacist | 319 Lindell St, Martin, TN 38237 | 2006-04-17 |
| 1568430353 | Michael Gregg Swaim | Pharmacist | 319 S Lindell St, Martin, TN 38237-2440 | 2006-03-09 |
| Find all providers in MARTIN | ||||
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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.