STACY MOTTER (NPI# 1831714633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831714633 |
| Entity Type | Individual |
| Full Name | STACY MOTTER |
| Credential | RPH |
| Practice Address |
475 Fortman Dr Saint Marys OH 45885-1871 |
| Practice Telephone | 4193948930 |
| Mailing Telephone | 4193948930 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03-2-23542 | OH | Pharmacy Service Providers |
| Street Address |
475 FORTMAN DR |
| City | SAINT MARYS |
| State | OH |
| Zip Code | 45885-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821029919 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 475 Fortman Dr, Saint Marys, OH 45885-1871 | 2006-07-06 |
| 1639777261 | Shelby Barga | Pharmacist | 475 Fortman Dr, Saint Marys, OH 45885-1871 | 2020-10-15 |
| 1316558125 | Jenna Theresa Junkins | Pharmacist | 475 Fortman Dr, Saint Marys, OH 45885-1871 | 2020-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232417 | Dimensional Wellness LLC | Counselor | 150 1/2 E. High St., Saint Marys, OH 45885 | 2020-07-13 |
| 1124679519 | Wishing Well Clinic & Spa, LLC | Massage Therapist | 153 E, Spring Street, St Marys, OH 45885 | 2019-09-26 |
| 1720633639 | Grand Lake Operations, LLC | Assisted Living Facility | 1035 Hager Street, Saint Marys, OH 45885 | 2019-08-07 |
| 1225436439 | Sharon Schnell | Pharmacist | 200 St. Clair Ave, St. Marys, OH 45885 | 2014-12-22 |
| 1851692669 | Gregory J Walter | Pharmacist | 1052 E. Spring St., St. Marys, OH 45885 | 2010-11-10 |
| 1578708053 | St Marys City Board of Education | Local Education Agency (LEA) | 2250 State Route 66, Saint Marys, OH 45885 | 2008-12-11 |
| 1104098037 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 510 East Spring Street, St Marys, OH 45885 | 2008-04-01 |
| 1598869646 | Pajka Eye Center Inc | Ophthalmology | 200 St Clair, Joint Township District Memorial Hospital, St Marys, OH 45885 | 2006-09-11 |
| 1487664306 | Chalasani Md Inc. | Internal Medicine | 1300 Greenville Rd., St. Marys, OH 45885 | 2006-08-09 |
| 1821007949 | Kenneth Lance Bryant | Surgery | 1300 Greenville Rd Ste B, Saint Marys, OH 45885 | 2006-08-07 |
| Find all providers in zip 45885 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558125 | Jenna Theresa Junkins | Pharmacist | 475 Fortman Dr, Saint Marys, OH 45885-1871 | 2020-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 45885 |
Please comment or provide details below to improve the information on STACY MOTTER.
| 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.