KACIE RENAE SPEARS (NPI# 1740835610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740835610 |
| Entity Type | Individual |
| Full Name | KACIE RENAE SPEARS |
| Credential | PHARMD. |
| Practice Address |
1201 Heritage Cir Pawnee OK 74058-3744 |
| Practice Telephone | 9187622517 |
| Mailing Telephone | 9187622517 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17371 | OK | Pharmacy Service Providers |
| Street Address |
1201 HERITAGE CIR |
| City | PAWNEE |
| State | OK |
| Zip Code | 74058-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053306837 | James Robert Burnham Ix | Pharmacist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2005-09-16 |
| 1972122745 | Becky Mcallister | Registered Nurse | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2020-04-13 |
| 1275188435 | Emily E Collins | Pharmacist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2019-08-05 |
| 1063907558 | Hunter John Parker | Nurse Practitioner | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2018-06-27 |
| 1174986582 | Melanie Diane Mester | Pediatrics | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2016-04-02 |
| 1235504325 | Lisa Mays | Registered Nurse | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2015-12-01 |
| 1003285628 | Brenna Lee Jones | Registered Nurse | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2015-09-24 |
| 1497173959 | Margaret Ann Hammond | Dental Hygienist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2014-04-02 |
| 1679997357 | Kelli Christensen | Physician Assistant | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2014-02-14 |
| 1467708875 | Mika Osako | Dental Hygienist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2012-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316214430 | Tonya L Houston | Nurse Practitioner | Pawnee Indian Health Center, 1201 Heritage Cir, Pawnee, OK 74058 | 2011-11-17 |
| 1659662153 | Christie Factor | Counselor | 540 Illinois, Pawnee, OK 74058 | 2011-05-02 |
| 1366476368 | Henry J Kaehler Jr Dds PC | Clinic/Center | 401 Forest St, Pawnee, OK 74058 | 2006-07-10 |
| 1003892621 | Brady Gene Englestead | Pediatrics | 1201 Heritage Circle, Pawnee, OK 74058 | 2005-12-15 |
| 1598039620 | Cah Acquisition Company 12 LLC | Clinic/Center | 535 6th St, Pawnee, OK 74058 | 2012-03-07 |
| 1639453665 | Creoks Mental Health Services | Community/Behavioral Health | 540 Illinois St, Pawnee, OK 74058 | 2011-10-10 |
| 1659473080 | Henry John Kaehler Jr. | Dentist | 401 Forest St, Pawnee, OK 74058 | 2006-09-05 |
| 1578503611 | William Lester Carruth | Dentist | 481 Agency Road, Pawnee, OK 74058-0130 | 2006-06-07 |
| 1821275744 | Patsy Ann Cooper | Counselor | 540 Illinois St, Pawnee, OK 74058-2036 | 2008-01-22 |
| 1225158314 | Cockrell Eyecare Center | Optometrist | 534 Illinois St, Pawnee, OK 74058-2036 | 2007-03-30 |
| Find all providers in zip 74058 | ||||
| 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 |
|---|---|---|---|---|
| 1326143868 | Kelly Earl Douglas | Pharmacist | 539 6th St, Pawnee, OK 74058-2542 | 2006-09-13 |
| 1053306837 | James Robert Burnham Ix | Pharmacist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2005-09-16 |
| 1275188435 | Emily E Collins | Pharmacist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2019-08-05 |
| 1386858769 | Kaileen D Skidgel | Pharmacist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2007-05-09 |
| 1962497743 | Eddie J Winn | Pharmacist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
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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.