DR. KYLE RYAN MICK (NPI# 1730799909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730799909 |
| Entity Type | Individual |
| Full Name | DR. KYLE RYAN MICK |
| Credential | PHARMD |
| Practice Address |
325 Maine St Lawrence KS 66044-1360 |
| Mailing Address |
105 Sin Del Dr Holton KS 66436-1963 |
| Practice Telephone | 7855056256 |
| Mailing Telephone | 7853050749 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1-100868 | KS | Pharmacy Service Providers |
| Street Address |
325 MAINE ST |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417928433 | Lawrence Clinical Laboratory Chartered | Pathology | 325 Maine St, Lawrence, KS 66044-1360 | 2006-01-28 |
| 1962015255 | Kate H Von Achen | Social Worker | 325 Maine St, Lawrence, KS 66044-1360 | 2020-08-26 |
| 1174135545 | Daniel Pons | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-08-18 |
| 1942819982 | Marianne Marie Westrick Carter | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-27 |
| 1659980647 | Margaret Marie Jorgenson | Nurse Practitioner | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-27 |
| 1609485986 | Trent Mazanec | Physical Therapist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-23 |
| 1346869351 | Jonah Michael Hady | Registered Nurse | 325 Maine St, Lawrence, KS 66044-1360 | 2020-04-09 |
| 1801442843 | Lauren Woodward | Physical Therapist | 325 Maine St, Lawrence, KS 66044-1360 | 2019-08-15 |
| 1780243493 | Mandy Peers-greaves | Dietitian, Registered | 325 Maine St, Lawrence, KS 66044-1360 | 2019-06-07 |
| 1669036893 | Jacob Loucks | Physical Therapist | 325 Maine St, Lawrence, KS 66044-1360 | 2019-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| 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 |
|---|---|---|---|---|
| 1164046736 | Jeffrey Lewis | Pharmacist | 705 Arkansas St Apt B, Lawrence, KS 66044-2350 | 2020-05-29 |
| 1871057695 | Rodney Eugene Smith | Pharmacist | 343 N Eaton Dr, Lawrence, KS 66049-4834 | 2019-01-25 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1053765255 | Lauren Dick | Pharmacist | 1016 Lakecrest Rd, Lawrence, KS 66049-3320 | 2016-04-14 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1841693967 | Patrick Ferguson Jr. | Pharmacist | 1128 Williamsburg Pl, Lawrence, KS 66049-3731 | 2014-10-02 |
| 1609280577 | Logan Arkenberg | Pharmacist | 1521 Rhode Island St, Lawrence, KS 66044-4271 | 2014-06-18 |
| 1598179020 | Steven Sordillo | Pharmacist | 365 Essex St, Lawrence, MA 01840-1213 | 2014-06-12 |
| 1093148785 | Cynthia R Mcdonnell | Pharmacist | 3536 Eagle Pass Ct, Lawrence, KS 66049-4255 | 2013-08-16 |
| 1255672101 | Andrew Ryan Tate | Pharmacist | 2010 Becker Dr, Lawrence, KS 66047-1620 | 2013-03-01 |
| Find all providers in LAWRENCE | ||||
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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.