RACHEL STULOCK (NPI# 1952742116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952742116 |
Entity Type | Individual |
Full Name | RACHEL STULOCK |
Practice Address |
14601 Detroit Ave Lakewood OH 44107-4205 |
Practice Telephone | 2162375653 |
Enumeration Date | 2013-07-16 |
Last Update Date | 2020-02-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03232671 | OH | Pharmacy Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
18101 Lorain Ave, Cleveland, OH 441115612 | 2166714576 |
Street Address |
14601 DETROIT AVE |
City | LAKEWOOD |
State | OH |
Zip Code | 44107-4205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477557197 | Marie Antonette Albano | Dentist | 14601 Detroit Ave, Ste 680, Lakewood, OH 44107-4251 | 2005-06-09 |
1659900413 | Alexander Ford | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-03 |
1992334783 | Kyle O'brien | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-03 |
1497384200 | Emery Llewellyn Young Jr. | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-03 |
1952930950 | Ryan Joseph Tran | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-02 |
1831728765 | Lauren Wichman | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-02 |
1881220960 | Megan Theresa Wolf | Dietitian, Registered | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-03-20 |
1982258091 | Shelby Lynne Wilson | Nurse Practitioner | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2019-07-26 |
1205397494 | Brian Halim Youseff | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2019-03-29 |
1992266183 | Molly Mcdermott | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2019-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
Find all providers in zip 44107 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578815874 | Lamar Marty Dale Jones | Pharmacist | 12860 W Cedar Dr Ste 210, Lakewood, CO 80228-1971 | 2012-10-10 |
1932505773 | Anthony Michael Lamendola | Pharmacist | 101 2nd St, Lakewood, NJ 08701-3324 | 2014-11-05 |
1285905992 | Franciscan Health System | Pharmacist | 11311 Bridgeport Way Sw, Suite 300, Lakewood, WA 98499 | 2012-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
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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.