PAUL HENDRICKS (NPI# 1912002973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912002973 |
| Entity Type | Individual |
| Full Name | PAUL HENDRICKS |
| Credential | RPH |
| Practice Address |
1810 E Ohio St Clinton MO 64735-2429 |
| Mailing Address |
Po Box 160 Clinton MO 64735-0160 |
| Practice Telephone | 6608852227 |
| Practice Fax Number | 6608856589 |
| Mailing Telephone | 6608852227 |
| Mailing Fax Number | 6608856589 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28309 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053470567 | Paul James Hendricks | Physical Therapist | 1602 Lohmans Crossing Rd, Lakeway, TX 78734-5160 | 2006-12-08 |
| 1225069503 | Paul Meredith Hendricks | Family Medicine | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2006-07-05 |
| 1427173152 | Paul Eugene Hendricks Jr. | Dentist | 203 Juniper Street, Kings Mountain, NC 28086-3220 | 2007-03-20 |
| 1124034350 | Paul E Hendricks | Registered Nurse | 651 I St, Sacramento, CA 95814-2400 | 2006-07-31 |
| 1922084060 | Paul Hendricks | Counselor | 200 Ne Missouri Rd, Suite 200, Lees Summit, MO 64086-4722 | 2005-12-20 |
| Street Address |
1810 E OHIO ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861511065 | Kreisler Drug #3 | Durable Medical Equipment & Medical Supplies | 1810 E Ohio St, Clinton, MO 64735-2429 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| 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 |
|---|---|---|---|---|
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1811455629 | Deva Sandroni | Pharmacist | 132 Fairmont St Ste B, Clinton, MS 39056-4721 | 2019-03-11 |
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1659857845 | Sally Drinnon | Pharmacist | 200 S 30th St, Clinton, OK 73601-3657 | 2018-07-11 |
| 1730673237 | Raisa Vladimir Reznik | Pharmacist | 6300 Coventry Way, Clinton, MD 20735-2256 | 2018-06-18 |
| 1962929331 | Jonathan Glen Hubanks | Pharmacist | 202 Clinton Blvd, Clinton, MS 39056-5126 | 2017-08-27 |
| 1871022830 | Mary Venetta Rothermal | Pharmacist | 140 W Michigan Ave, Clinton, MI 49236-9577 | 2017-06-05 |
| 1689028896 | Bridget Piko | Pharmacist | 165 Clinton Lake Rd, Clinton, PA 15026-1927 | 2016-04-14 |
| 1023487055 | Tyler Dougherty | Pharmacist | 1130 N Charles G Seivers Blvd, Clinton, TN 37716-3937 | 2015-09-21 |
| Find all providers in CLINTON | ||||
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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.