RANDAL KOCH (NPI# 1891229159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891229159 |
| Entity Type | Individual |
| Full Name | RANDAL KOCH |
| Credential | RPH |
| Practice Address |
715 South Taft Avenue Fremont OH 43420 |
| Practice Telephone | 4193332735 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03-2-15615 | OH | Pharmacy Service Providers |
| Street Address |
715 SOUTH TAFT AVENUE |
| City | FREMONT |
| State | OH |
| Zip Code | 43420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851338149 | Memorial Hospital | General Acute Care Hospital | 715 South Taft Avenue, Fremont, OH 43420-3200 | 2006-06-02 |
| 1750695763 | Stephanie Lynn Tiell | Nurse Practitioner | 715 South Taft Avenue, Fremont, OH 43420 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| 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 |
|---|---|---|---|---|
| 1902419815 | Virginia Wong | Pharmacist | 34460 Fremont Blvd Ste B, Fremont, CA 94555-3324 | 2020-08-29 |
| 1427666767 | Eric Donald Schlegel | Pharmacist | 350 W 23rd St Ste E, Fremont, NE 68025-2592 | 2020-07-22 |
| 1003445891 | Ranjit Singh Kali-rai | Pharmacist | 45372 Whitetail Ct, Fremont, CA 94539-6038 | 2020-04-03 |
| 1811529993 | Pius N Bachan Jr. | Pharmacist | 34573 Hurst Ave, Fremont, CA 94555-3124 | 2020-02-06 |
| 1104477173 | Suparna Sandip Umrotkar | Pharmacist | 428 Escobar St, Fremont, CA 94539-5713 | 2019-09-21 |
| 1194374223 | Alameda Adult Day Health Center | Pharmacist | 40922 Fremont Blvd, Fremont, CA 94538-4375 | 2019-09-11 |
| 1376190322 | Vincent Lacariere | Pharmacist | 3051 Christine Ct, Fremont, CA 94536-5210 | 2019-08-23 |
| 1215596853 | Sonal Sehgal | Pharmacist | 46307 Klamath St, Fremont, CA 94539-6908 | 2019-06-07 |
| 1285100362 | Amina Azam | Pharmacist | 34077 Paseo Padre Pkwy Apt 115, Fremont, CA 94555-2370 | 2018-10-16 |
| 1134694169 | Christina S Yeh | Pharmacist | 41641 Mission Creek Dr, Fremont, CA 94539-4771 | 2018-10-05 |
| Find all providers in FREMONT | ||||
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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.