ROBERT M SELF (NPI# 1992292825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992292825 |
| Entity Type | Individual |
| Full Name | ROBERT M SELF |
| Credential | R.PH. |
| Practice Address |
200 Chickasaw Ridge Dr Ste 25 Oakland TN 38060-6208 |
| Practice Telephone | 9012900428 |
| Mailing Telephone | 9012900428 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 051297704 | IL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 019210 | LA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 46605 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 34102 | TN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 9841 | MS | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 15809 | GA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 11529 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770654311 | Robert D Self | Dentist | 216 E 1st North St, Morristown, TN 37814-4710 | 2006-11-13 |
| Street Address |
200 CHICKASAW RIDGE DR STE 25 |
| City | OAKLAND |
| State | TN |
| Zip Code | 38060-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093279044 | Betterx LLC | Pharmacy | 200 Chickasaw Ridge Dr Ste 25, Oakland, TN 38060-6208 | 2019-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957157 | Carmen Ruth | Dentist | 14710 Tn-194, Oakland, TN 38060 | 2018-06-26 |
| 1760881098 | Wendell Wainwright | Social Worker | 245 Riverdale Drive, Oakland, TN 38060 | 2014-08-22 |
| 1952615023 | Tori Deanna Comeau | Nurse Practitioner | 770 Estate Place, Memphis, TN 38060 | 2010-08-01 |
| 1124508445 | Dove Family Dentistry Oakland Pllc | Dentist | 14710 Tn-194, Oakland, TN 38060 | 2018-08-16 |
| 1801418710 | Tn Tele Md PC | Emergency Medicine | 578 Ivy Dr, Oakland, TN 38060-3132 | 2020-05-13 |
| 1437664232 | Tmdt, LLC | Non-emergency Medical Transport (VAN) | 7062 Highway 64, Oakland, TN 38060-3208 | 2017-12-04 |
| 1598881104 | Eleanor Ann Twigg | Pharmacist | 7064 Highway 64, Oakland, TN 38060-3208 | 2007-03-22 |
| 1053336560 | Drew Stephen Turner | Nurse Practitioner | 7046 Highway 64, Oakland, TN 38060-3208 | 2006-07-13 |
| 1932125200 | Maria Diane Gersava | Physical Therapist | 7070 Highway 64, Oakland, TN 38060-3208 | 2006-07-13 |
| 1720060924 | Genesis Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 7058 Highway 64, Oakland, TN 38060-3208 | 2005-11-15 |
| Find all providers in zip 38060 | ||||
| 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 |
|---|---|---|---|---|
| 1164020020 | Daniel Ninh | Pharmacist | 3093 Broadway Unit 523, Oakland, CA 94611-5894 | 2020-10-13 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1780291880 | Jennifer He | Pharmacist | 747 52nd St Ste 125, Oakland, CA 94609-1809 | 2020-09-23 |
| 1447865944 | Nate Sandve | Pharmacist | 3226 Fruitvale Ave, Oakland, CA 94602-2115 | 2020-09-11 |
| 1356950869 | Loi Pham | Pharmacist | 600 International Blvd # 105, Oakland, CA 94606-2993 | 2020-07-30 |
| 1548878325 | Margaret P So | Pharmacist | 4379 Terrabella Pl, Oakland, CA 94619-3161 | 2020-07-17 |
| 1548829062 | Michael Nishioka | Pharmacist | 3236 Lakeshore Ave, Oakland, CA 94610-2720 | 2019-06-08 |
| 1124598339 | Lesly-anne Samedy | Pharmacist | 1000 43rd St Apt 25, Oakland, CA 94608-3789 | 2018-11-29 |
| 1235617788 | Cathy Yan-fang Liang | Pharmacist | 2877 Macarthur Blvd, Oakland, CA 94602-3229 | 2018-08-06 |
| 1194201038 | Mudashiru Tahir | Pharmacist | 950 66th Ave Apt 108, Oakland, CA 94621-3188 | 2018-07-13 |
| Find all providers in OAKLAND | ||||
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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.