ANDREA DANIELLE WHITAKER


Address: 2516 E Dupont Rd, Fort Wayne, IN 46825-1608
Phone: 2604583725

ANDREA DANIELLE WHITAKER (NPI# 1851813018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851813018
Entity Type Individual
Full Name ANDREA DANIELLE WHITAKER
Credential PHARMD
Practice Address 2516 E Dupont Rd
Fort Wayne
IN 46825-1608
Mailing Address 10627 Diebold Rd
Fort Wayne
IN 46845-8606
Practice Telephone 2604583725
Enumeration Date 2017-07-10
Last Update Date 2017-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
26027027A IN Pharmacy Service Providers

Other Providers ANDREA WHITAKER

NPI Name Taxonomy Address Enumeration
1033453444 Andrea Violet Whitaker Speech-Language Pathologist 435 E 5th St, Lovell, WY 82431-1947 2012-11-26

Office Location

Street Address 2516 E DUPONT RD
City FORT WAYNE
State IN
Zip Code 46825-1608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538150404 Allied Physicians Inc., D/b/a Tri-state Physical Medicine Physical Medicine & Rehabilitation 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2005-10-31
1871154401 Kimberly Million Nurse Practitioner 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2019-06-25
1013465152 Nicole M Sanderson Nurse Practitioner 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2016-09-19
1679934707 Julea B. Diffenderfer Dietitian, Registered 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2016-03-17
1073943387 Kara Reyes Physical Therapist 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2013-11-22
1659669513 Lutheran Medical Group LLC Durable Medical Equipment & Medical Supplies 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2011-07-13
1871738930 Tiffany J. Bauman Speech-Language Pathologist 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2008-12-03
1598808156 Kristina R Leavell Physician Assistant 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2007-02-14
1629089453 Jessica L. Ottenweller-butcher Family Medicine 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2006-08-10
1013927904 Brian A. Adams Family Medicine 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2006-08-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772078 Bradley Murphy Occupational Therapist 2626 St Joe Center Ed, Fort Wayne, IN 46825 2020-02-21
1144851015 Sabryna Roman Developmental Therapist 2626 St Joe Center Rd, Fort Wayne, IN 46825 2020-01-30
1205474103 Ashleigh Miller Developmental Therapist 2626 St. Joe Center Rd, Fort Wayne, IN 46825 2019-12-11
1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1306318175 Logan Alan Williams Nurse Anesthetist, Certified Registered 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 2018-12-18
1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
1336695782 Nadine Rene' Handy Nurse Practitioner 3978 New Vision Dr., Fort Wayne, IN 46825 2016-08-26
1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1003276643 Seiss, LLC Psychologist 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 2016-02-24
Find all providers in zip 46825

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962751446 Robert L Plant Pharmacist 3602 New Vision Drive, Fort Wayne, IN 46845 2012-08-30
1649883687 Rachel Capito Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2020-08-28
1306465570 Mariah Vasquez Pharmacist 110 E Creighton Ave, Fort Wayne, IN 46803-3344 2020-04-08
1851934277 Stephanie Marie Carcione Pharmacist 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1633 2019-10-18
1407404056 Aubrey Ann Mills Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2019-08-27
1366937047 Kristin Howard Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-06-26
1780179549 Bryan M Statz Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-06-25
1770073900 James Joseph Roy Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-05-14
1720578289 Ross Witte Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-05-10
1629579636 Tracy Leigh Brooks Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-02-25
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46825

Improve Information

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Dataset Information

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.

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