JANE BLACK (NPI# 1942389523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942389523 |
| Entity Type | Individual |
| Full Name | JANE BLACK |
| Practice Address |
12400 Private Dr 5308 Rolla MO 65401 |
| Mailing Address |
Po Box 1007 Rolla MO 65402-1007 |
| Practice Telephone | 5733419404 |
| Practice Fax Number | 5733419403 |
| Mailing Telephone | 5733419404 |
| Mailing Fax Number | 5733419403 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 2000146994 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720509383 | Jane Black | Nurse Practitioner | 839 W Congress St, Tucson, AZ 85745-2819 | 2017-07-03 |
| 1720194665 | Jane Beth Black | Pediatrics | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2006-08-22 |
| Street Address |
12400 PRIVATE DR 5308 |
| City | ROLLA |
| State | MO |
| Zip Code | 65401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417039538 | Leslie Jones | Pharmacy Technician | 13760 Private Drive 8114, Rolla, MO 65401-5212 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418983 | Kelsey Houk | Pharmacy Technician | 932 Mcpherson St, Trenton, MO 64683-2261 | 2020-05-12 |
| 1861940967 | Luke Beatty | Pharmacy Technician | 2310 Bent Tree Ct, Saint Joseph, MO 64506-2400 | 2016-09-17 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164704193 | Barbara R Klazynski-martin | Pharmacy Technician | 13897 Corporate Woods Trl, Bridgeton, MO 63044-1291 | 2011-09-15 |
| 1124329214 | Nicholas Lee Farrar | Pharmacy Technician | 2004 Mccausland Ave, Saint Louis, MO 63143-2536 | 2010-11-05 |
| 1891017356 | Debbie Lynn Haines | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
| 1336342310 | Denise Jean Keys | Pharmacy Technician | 5300 Arsenal St., St. Louis, MO 63139-1463 | 2007-06-07 |
| 1104982388 | Tiffany Gregory | Pharmacy Technician | 600 N Springfield St, Saint James, MO 65559-9505 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
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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.