MR. MASOODE S NIKSERESHT (NPI# 1861646614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861646614 |
| Entity Type | Individual |
| Full Name | MR. MASOODE S NIKSERESHT |
| Credential | R. PH. |
| Practice Address |
600 Senate Ave Red Oak IA 51566-1283 |
| Practice Telephone | 7126231900 |
| Practice Fax Number | 7126235245 |
| Mailing Telephone | 7126231900 |
| Mailing Fax Number | 7126235245 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16878 | IA | Pharmacy Service Providers |
| Street Address |
600 SENATE AVE |
| City | RED OAK |
| State | IA |
| Zip Code | 51566-1283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301388 | Zachary Hiraki | Pharmacist | 600 Senate Ave, Red Oak, IA 51566-1283 | 2020-09-20 |
| 1982112090 | Katheryn Elizabeth Larson | Pharmacist | 600 Senate Ave, Red Oak, IA 51566-1283 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1528477379 | Marcela Ivette Pineda Molina | Obstetrics & Gynecology | 1400 Senate Ave Ste 102, Red Oak, IA 51566 | 2014-08-06 |
| 1538397468 | Etta Murphy | Counselor | 1101 Summit St. Ste. 2, Red Oak, IA 51566 | 2009-06-30 |
| 1871799387 | Jeffrey Alan Hulne | Physical Therapist | 2301 Eastern Ave., Red Oak, IA 51566 | 2007-06-22 |
| 1154469385 | Mills County | Case Management | 105 Coolbaugh, Red Oak, IA 51566 | 2007-02-01 |
| 1356415624 | James Forest Wyatt | Obstetrics & Gynecology | 1905 East Summit Street, Red Oak, IA 51566 | 2006-11-20 |
| 1851487664 | Janet K Wheat | Chiropractor | 401 E Park Ave, Red Oak, IA 51566 | 2006-10-05 |
| 1760579593 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1400 Senate Avenue, Red Oak, IA 51566 | 2006-10-05 |
| 1730192394 | Michael Patrick Mccormack | Dentist | 1700 Summit Ave, Red Oak, IA 51566 | 2006-08-14 |
| 1194796763 | Dr. Robert H. Sharp, P.C. | Optometrist | 514 4th St., Red Oak, IA 51566 | 2006-01-31 |
| Find all providers in zip 51566 | ||||
| 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 |
|---|---|---|---|---|
| 1639700248 | John Shawn Piper | Pharmacist | 105 E Ovilla Rd, Red Oak, TX 75154-2490 | 2020-02-01 |
| 1114528502 | Henry Thomas Knudson | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-11-03 |
| 1093316622 | Kelli Dulaney | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-11-02 |
| 1619578200 | Maureen Evelyn Walme-brown | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-11-02 |
| 1891301388 | Zachary Hiraki | Pharmacist | 600 Senate Ave, Red Oak, IA 51566-1283 | 2020-09-20 |
| 1225640733 | Ali Hyder Syed | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-18 |
| 1285246736 | Yonas Churuko Kolaso | Pharmacist | 107 E Ovilla Rd, Red Oak, TX 75154-2445 | 2020-08-17 |
| 1780295394 | Matthew Tran | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-17 |
| 1629689385 | Dennis Weiting Chen | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-14 |
| 1013536903 | Vu Uy Nguyen | Pharmacist | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2020-04-10 |
| Find all providers in RED OAK | ||||
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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.