GARY FRANK SOBOCINSKI (NPI# 1750658480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750658480 |
| Entity Type | Individual |
| Full Name | GARY FRANK SOBOCINSKI |
| Credential | RPH |
| Practice Address |
4033 Sovereign Court Ballwin MO 63011 |
| Mailing Address |
3274 Bridgeport Place Dr Bridgeton MO 63044-3344 |
| Practice Telephone | 3143698013 |
| Mailing Telephone | 3147700440 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0029437 | MO | Pharmacy Service Providers |
| Street Address |
4033 SOVEREIGN COURT |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
| Find all providers in zip 63011 | ||||
| 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 |
|---|---|---|---|---|
| 1063998011 | Nomana Malik | Pharmacist | 214 Straightoak Ct, Ballwin, MO 63021-6566 | 2018-07-12 |
| 1538446554 | Mario Everardo Coronado | Pharmacist | 731 Rockridge Dr, Ballwin, MO 63021-6615 | 2011-11-04 |
| 1881979201 | Laura M Oak | Pharmacist | 2305 Barrett Place Ct, Ballwin, MO 63021 | 2011-10-17 |
| 1417247867 | Anna M Keaton | Pharmacist | 15945 Clayton Road, Suite 140, Ballwin, MO 63011-2146 | 2011-04-19 |
| 1407077605 | Sarah Lyn Willis | Pharmacist | 15446 Manchester Road, Ballwin, MO 63011 | 2007-05-02 |
| 1922051390 | Donna L Schultz | Pharmacist | 433 Sovereign Ct, Ballwin, MO 63011-4432 | 2006-05-18 |
| 1396728671 | Todd Hessel | Pharmacist | 347 Alverston Ct, Ballwin, MO 63021-6168 | 2005-11-21 |
| 1780290346 | Jasmine Williams | Pharmacist | 13992 Manchester Rd, Ballwin, MO 63011-4517 | 2020-09-18 |
| 1720691124 | Shalece Nicole Johnson | Pharmacist | 13992 Manchester Rd, Ballwin, MO 63011-4517 | 2020-08-25 |
| 1831701507 | Humza Ahmad | Pharmacist | 1391 Big Bend Rd, Ballwin, MO 63021-7616 | 2020-08-23 |
| Find all providers in BALLWIN | ||||
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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.