IRA MCCRACKEN (NPI# 1780161208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780161208 |
| Entity Type | Individual |
| Full Name | IRA MCCRACKEN |
| Credential | PHARM.D. |
| Practice Address |
452 Forest Dr Marshfield MO 65706-2413 |
| Practice Telephone | 4178728836 |
| Mailing Telephone | 4178728836 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2001018846 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI BOARD OF PHARMACY | 2001018846 | 01 |
| Street Address |
452 FOREST DR |
| City | MARSHFIELD |
| State | MO |
| Zip Code | 65706-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629260 | Larry Dean Skeen Jr. | Physical Therapist | 1245 Banning Street, Marshfield, MO 65706 | 2020-04-28 |
| 1194193870 | Shelly Bilyeu | Nurse Practitioner | 487 Pomme De Terre Drive, Marshfield, MO 65706 | 2015-09-11 |
| 1326415753 | Misook An Rissler | Dentist | 14303 W. State Hwy 38, Marshfield, MO 65706 | 2015-09-02 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
| 1760867808 | Samuel Swisher | Optometrist | 14740 State Hwy 38, Marshfield, MO 65706 | 2015-07-29 |
| 1558671495 | Crystal Lyn Brokering | Social Worker | 782 Wiseman Rd., Marshfield, MO 65706 | 2010-10-13 |
| 1639370653 | Dennis Paul Billman | Counselor | 436 W Washington Street, Marshfield, MO 65706 | 2007-05-29 |
| 1417087461 | Jane E Yarnell | Speech-Language Pathologist | 170 State Highway Dd, Marshfield, MO 65706 | 2007-03-07 |
| 1982782306 | Donna Lea Currier | Optometrist | 1100 Spur Drive, Ste 220, Marshfield, MO 65706 | 2006-11-02 |
| 1376624015 | William Brian Bartow | Dentist | 547 West Jackson St, Marshfield, MO 65706 | 2006-10-18 |
| Find all providers in zip 65706 | ||||
| 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 |
|---|---|---|---|---|
| 1487907515 | Kevin Henschke | Pharmacist | 641 S Central Ave, Marshfield, WI 54449-4104 | 2012-10-26 |
| 1396057964 | Thomas Sennott Pettit | Pharmacist | 1900 Ocean St, Marshfield, MA 02050-3304 | 2010-07-11 |
| 1093902975 | Xin Ruppel | Pharmacist | 1000 N Oak Ave # Fhp, Marshfield, WI 54449-5703 | 2007-09-25 |
| 1215143664 | Michael G Spiro | Pharmacist | 16 Webster Sq, Marshfield, MA 02050-3468 | 2007-05-15 |
| 1467569863 | Brook Smith Desrivieres | Pharmacist | 611 N Saint Joseph Ave, Marshfield, WI 54449-1832 | 2006-08-23 |
| 1770183360 | Monna Vay Devoto | Pharmacist | 14740 State Highway 38, Marshfield, MO 65706-8950 | 2020-11-01 |
| 1225638000 | Jonathan Jay Baughman | Pharmacist | 14740 State Highway 38, Marshfield, MO 65706-8950 | 2020-10-29 |
| 1912507914 | Tara Kay Isringhausen-thomas | Pharmacist | 14740 State Highway 38, Marshfield, MO 65706-8950 | 2020-10-28 |
| 1417557919 | Noah James Thurber | Pharmacist | 2001 N Central Ave, Marshfield, WI 54449-8337 | 2020-10-26 |
| 1467051474 | Michael Heltne | Pharmacist | 2001 N Central Ave, Marshfield, WI 54449-8337 | 2020-10-21 |
| Find all providers in MARSHFIELD | ||||
| City | MARSHFIELD |
| Zip Code | 65706 |
Please comment or provide details below to improve the information on IRA MCCRACKEN.
| 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.