MICHAEL GLENNON CARR (NPI# 1962060236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962060236 |
| Entity Type | Individual |
| Full Name | MICHAEL GLENNON CARR |
| Credential | RPH |
| Practice Address |
317 6th Ave Des Moines IA 50309-4109 |
| Mailing Address |
10050 Wood Wind Ct Louisville KY 40223-5325 |
| Practice Telephone | 5028220472 |
| Mailing Telephone | 5028220472 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 010236 | KY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF PHARAMCY | 010236 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646508 | Michael E Carr | Social Worker | 15039 W Highland Ave, Goodyear, AZ 85395-6361 | 2020-07-22 |
| 1508483983 | Michael Carr | Counselor | 379 Lawton St, Fall River, MA 02721-3327 | 2020-07-01 |
| 1396286621 | Michael Carr | Student in an Organized Health Care Education/Training Program | University of Louisville Dept of Surgery, Louisville, KY 40292-0001 | 2017-03-20 |
| 1669892618 | Michael J Carr | Emergency Medicine | 531 Asbury Cir Dept Of, Atlanta, GA 30322 | 2014-04-17 |
| 1265855928 | Michael Carr | Counselor | 2201 Nw 122nd St Apt 2017, Oklahoma City, OK 73120 | 2014-01-30 |
| 1023384518 | Michael Joesph Carr | Pharmacist | 121 Woods Rd, Absecon, NJ 08201-2112 | 2012-03-28 |
| 1588952048 | Michael Carr Jr. | Dentist | 84 Court Street, Cuthbert, GA 39840 | 2011-07-19 |
| 1407171531 | Michael David Carr | Physical Therapist | 11277 Vernon Pl Ste 102, Meadville, PA 16335-3718 | 2010-03-31 |
| 1124289368 | Michael John Carr | Massage Therapist | 519 Greenwoods Rd, Torrington, CT 06790-2330 | 2008-06-20 |
| 1326198714 | Michael James Carr | Physical Therapist | 3034 Railroad Ave, Bamberg, SC 29003-1786 | 2007-01-10 |
| Street Address |
317 6TH AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| 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 |
|---|---|---|---|---|
| 1780204438 | Jeffrey Wayne Dimon | Pharmacist | 3330 Mlk Jr Pkwy, Des Moines, IA 50310-5672 | 2020-04-23 |
| 1730720830 | Amanda Najat Abdulbaki | Pharmacist | 8515 Douglas Ave Ste 16, Des Moines, IA 50322-2927 | 2019-10-01 |
| 1972158939 | Madison Koppin | Pharmacist | 1415 Woodland Ave Ste 238, Des Moines, IA 50309-3203 | 2019-08-07 |
| 1235687328 | Bryan Nguyen | Pharmacist | 2209 S 254th Ct, Des Moines, WA 98198-9097 | 2016-09-17 |
| 1366814055 | Kendy Rose Fauska | Pharmacist | 4813 Sawyers Dr, Des Moines, IA 50310-2950 | 2015-10-21 |
| 1750771952 | Emily Carruthers | Pharmacist | 3923 Twana Dr, Des Moines, IA 50310-4234 | 2015-01-27 |
| 1639588510 | Angela Aarhus | Pharmacist | 1719 Grand Ave Unit 335, Des Moines, IA 50309-3018 | 2014-08-05 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1891048013 | Frances Van Cleave | Pharmacist | 20636 10th Ave S, Des Moines, WA 98198-2644 | 2012-10-25 |
| 1407126568 | Michael Wolnerman | Pharmacist | 7 Sw 56th St, Des Moines, IA 50312-2155 | 2012-01-06 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
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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.