DR. DEDRA SNOW (NPI# 1811249444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811249444 |
| Entity Type | Individual |
| Full Name | DR. DEDRA SNOW |
| Practice Address |
610 Providence Park Dr E Mobile AL 36695-4622 |
| Mailing Address |
10726 Hunters Ct W Mobile AL 36695-9222 |
| Practice Telephone | 2512433900 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 31881 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 13539 | AL | Pharmacy Service Providers |
| Street Address |
610 PROVIDENCE PARK DR E |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990765 | Percy Vandorn Crocker | Otolaryngology | 610 Providence Park Dr E, Bldg 2, Suite 203, Mobile, AL 36695-4622 | 2005-05-24 |
| 1790272250 | Elizabeth Brooke Stewart | Family Medicine | 610 Providence Park Dr E, Mobile, AL 36695-4622 | 2018-04-19 |
| 1598214116 | Carolyn Waddell | Physician Assistant | 610 Providence Park Dr E, Mobile, AL 36695-4622 | 2016-09-23 |
| 1265861355 | Alabama Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg 1, Suite 101, Mobile, AL 36695-4622 | 2013-11-08 |
| 1083043178 | Alabama Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg 1, Suite 102, Mobile, AL 36695-4622 | 2013-11-08 |
| 1063770709 | Jonathan Michael Holmes | Pediatrics | 610 Providence Park Dr E, Ste. 201, Mobile, AL 36695-4622 | 2012-05-01 |
| 1548460116 | Andrea Lamendola Thompson | Audiologist | 610 Providence Park Dr E, Bldg. 2 Suite 202, Mobile, AL 36695-4622 | 2007-07-23 |
| 1255535662 | Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg. 1 Suite 102, Mobile, AL 36695-4622 | 2007-06-12 |
| 1235146499 | Barbara M. Williams | Nurse Practitioner | 610 Providence Park Dr E, Bldg 1 Suite 102, Mobile, AL 36695-4622 | 2006-08-01 |
| 1255345369 | Stephen Anthony Kahalley | Internal Medicine | 610 Providence Park Dr E, Bldg 1 Suite 102, Mobile, AL 36695-4622 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| 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 |
|---|---|---|---|---|
| 1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
| 1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
| 1134765795 | Andrew Price Howard IIi | Pharmacist | 7710 Clifton Way, Mobile, AL 36619-3654 | 2019-11-19 |
| 1669033478 | Rachel Walker | Pharmacist | 2889 Sollie Rd Apt 1012, Mobile, AL 36695-5553 | 2019-06-23 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1093223349 | Heide Ann Felber | Pharmacist | 2866 Dauphin St Ste H, Mobile, AL 36606-2482 | 2018-01-19 |
| 1881103661 | Brianne Pate | Pharmacist | 3715 Dauphin St Ste 1e, Mobile, AL 36608-1783 | 2017-09-25 |
| 1144767922 | Carl Richie | Pharmacist | 5751 Parkmont Cir S, Mobile, AL 36608-4348 | 2017-01-31 |
| 1528424520 | Richard Charles Fordham | Pharmacist | 3065 Dauphin St, Mobile, AL 36606-4040 | 2016-01-06 |
| 1245604230 | Kendra Cathleen Pierce | Pharmacist | 740 Schillinger Rd N, Mobile, AL 36608-5240 | 2015-11-14 |
| Find all providers in MOBILE | ||||
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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.