MICHAEL PRATER (NPI# 1740619923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740619923 |
| Entity Type | Individual |
| Full Name | MICHAEL PRATER |
| Practice Address |
221 3rd St W Bldg 1040 Rm 1d201 Randolph Afb TX 78150-4800 |
| Practice Telephone | 2106526741 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 30531 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538103940 | Michael T Prater | Emergency Medicine | 13924 Noland St, Overland Park, KS 66221-4155 | 2006-06-15 |
| 1982955886 | Michael Canaan Prater | Orthopaedic Surgery | 870 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2012-10-02 |
| 1942504931 | Michael Prater | Speech-Language Pathologist | 1900 Parr Ave, Dyersburg, TN 38024-2009 | 2011-01-05 |
| 1205092962 | Michael Prater | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2008-08-01 |
| 1659599884 | Michael L. Prater | Dentist | 8041 Hosbrook Rd, Suite 300, Cincinnati, OH 45236-2989 | 2007-04-23 |
| 1740320373 | Michael A. Prater | Specialist | 2650 Crimson Canyon Dr, Las Vegas, NV 89128-0841 | 2007-02-06 |
| 1598723173 | Michael Edward Prater | Otolaryngology | 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 | 2006-05-03 |
| Street Address |
221 3RD ST W BLDG 1040 RM 1D201 |
| City | RANDOLPH AFB |
| State | TX |
| Zip Code | 78150-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228015 | Garrett R Lyman | Physician Assistant | 221 3rd St W, Randolph Afb, TX 78150-4800 | 2019-10-30 |
| 1972074102 | Alexander Louis Nestor | Military Health Care Provider | 221 3rd St W, Randolph Afb, TX 78150-4800 | 2018-12-16 |
| 1861973349 | Kimberli M Molina | Physician Assistant | 221 3rd St W, Randolph Afb, TX 78150-4800 | 2018-08-23 |
| 1225526668 | Jon Paul Fitzgerald | Military Health Care Provider | 221 3rd St W, Randolph Afb, TX 78150-4800 | 2018-05-01 |
| 1326587494 | Jonathan Madden | Military Health Care Provider | 221 3rd St W, Randolph Afb, TX 78150 | 2017-02-22 |
| 1508308685 | Stephanie Jean Campos | Registered Nurse | 221 3rd St W, Randolph Afb, TX 78150 | 2016-11-07 |
| 1568915643 | Shanna Leah Irizarry-miller | Nurse Practitioner | 221 3rd St W, Randolph Afb, TX 78150 | 2016-07-26 |
| 1215396072 | Kelly L. Riegleman | General Practice | 221 3rd St W, Randolph Afb, TX 78150-4800 | 2016-02-22 |
| 1982086807 | David Brockbank | Dentist | 221 3rd St W, Randolph Afb, TX 78150 | 2015-06-27 |
| 1528488558 | Maxwell Dickey | Preventive Medicine | 221 3rd St W, Randolph Afb, TX 78150-4800 | 2014-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045833 | Erica Renae Guevara | Physician Assistant | 559 Medial Sq, 221 Third Street West Bldg. 1040, Jbsa-randolph Afb, TX 78150 | 2019-04-05 |
| 1457803868 | Emily Newman | Dietitian, Registered | 221 Third Street West, Bldg. 999 Ste 2, Joint Base San Antonio -randolph, TX 78150 | 2016-11-02 |
| 1922411677 | Amber Drewer | Military Health Care Provider | 3rd Street West Building 1040, Randolph Afb, TX 78150 | 2014-06-10 |
| 1144652975 | Josephine Kimberly Olsen | Family Medicine | 359 Mdos/mdg, Randolph Afb, TX 78150 | 2013-08-02 |
| 1609149681 | Lucky Lusterio | Preventive Medicine | 221 3rd St. W, Randolph Afb, TX 78150 | 2012-02-21 |
| 1417120569 | Joni Hodgson | General Practice | 221 3rd Street West, Jbsa Randolph, TX 78150 | 2008-04-09 |
| 1710095724 | Katherine Justen Adamson | Physician Assistant | 12th Medical Group, 221 3rd Street West, Randolph Air Force Base, TX 78150 | 2006-08-29 |
| 1811950090 | Lidia Stana Ilcus | Internal Medicine | 359 Mdg, 221 Third Street West, Randolph Afb, TX 78150 | 2006-04-10 |
| 1013970672 | David Hamilton | Social Worker | 12mdos/sgohf, Randolph Afb, TX 78150 | 2006-04-06 |
| 1962465526 | Robert Allan Briggs | Physical Therapist | Randolph Afb Clinic, 221 3rd St W, Randolph Afb, TX 78150 | 2006-04-06 |
| Find all providers in zip 78150 | ||||
| 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 |
|---|---|---|---|---|
| 1558592048 | David M Lang | Pharmacist | 221 3rd St W, Randolph Afb, TX 78150-4800 | 2009-07-31 |
| 1023186327 | Heather Fenzl | Pharmacist | 221 3rd St W, Randolph Afb, TX 78150-4800 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
| 1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | RANDOLPH AFB |
| Zip Code | 78150 |
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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.