NICOLE THACKER (NPI# 1730630757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730630757 |
| Entity Type | Individual |
| Full Name | NICOLE THACKER |
| Credential | PHARMD |
| Practice Address |
1301 Hal Greer Blvd Huntington WV 25701-3803 |
| Practice Telephone | 3043993355 |
| Practice Fax Number | 3043993356 |
| Mailing Telephone | 3043993355 |
| Mailing Fax Number | 3043993356 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0009326 | WV | Pharmacy Service Providers |
| Street Address |
1301 HAL GREER BLVD |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275511404 | David John Whitmore | Emergency Medicine | 1301 Hal Greer Blvd, Huntington, WV 25701 | 2006-01-06 |
| 1104279066 | Valley Health Pharmacy | Pharmacy | 1301 Hal Greer Blvd, Huntington, WV 25701-3803 | 2016-07-15 |
| 1255600870 | Valley Health Systems, Inc. | Family Medicine | 1301 Hal Greer Blvd, Huntington, WV 25701-3803 | 2011-12-28 |
| 1710952056 | Valley Health Systems Inc | Psychologist | 1301 Hal Greer Blvd, Huntington, WV 25701-3803 | 2006-02-21 |
| 1871573089 | Daniel James Whitmore | Internal Medicine | 1301 Hal Greer Blvd, Huntington, WV 25701-3803 | 2006-01-23 |
| 1417937111 | Manimekalai V Raman | Internal Medicine | 1301 Hal Greer Blvd, Huntington, WV 25701-3803 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| 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 |
|---|---|---|---|---|
| 1427664010 | Jessica Ann Richmond | Pharmacist | 3333 Us-60, Huntington, WV 25705 | 2020-09-18 |
| 1366056863 | Daniel Brainard | Pharmacist | 5179 Us Route 60, Huntington, WV 25705-2003 | 2020-09-02 |
| 1376166140 | Lisa Nord | Pharmacist | 739 Shivel Ln, Huntington, WV 25705-3842 | 2020-05-27 |
| 1942821624 | Caroline Borden Thomas | Pharmacist | 1249 15th St Ste 3061, Huntington, WV 25701-3662 | 2020-05-04 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1861034597 | Kaitlin Elizabeth Bowling | Pharmacist | 144 Honeysuckle Ln, Huntington, WV 25701-4726 | 2019-10-15 |
| 1245872969 | Downer Pace Dykes IIi | Pharmacist | 202 9th Ave W, Huntington, WV 25701-2529 | 2019-10-14 |
| 1457901472 | Alyssa Louise Amato | Pharmacist | 16 Pyramid Dr Apt 1602, Huntington, WV 25705-3275 | 2019-09-12 |
| 1740746593 | Bodie Lee Johnson I | Pharmacist | 3375 Us Route 60 Ste P, Huntington, WV 25705-2837 | 2019-02-18 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25701 |
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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.