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DR. ETHAN MICHAEL ODINEAL PHARMD NPI 1144824079


NPI Information

NPI: 1144824079
Provider Name: DR. ETHAN MICHAEL ODINEAL, PHARMD
Classification: Pharmacist - 183500000X
Entity Type: Individual
Address:
7909 HIGHWAY N
DARDENNE PRAIRIE, MO
ZIP 63368
Phone: (636) 561-8450
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DR. Ethan Michael Odineal, PHARMD is a pharmacist in Dardenne Prairie, MO. The provider is 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. DR. Ethan Michael Odineal, PHARMD NPI is 1144824079. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7909 HIGHWAY N
DARDENNE PRAIRIE, MO
ZIP 63368-382
Phone: (636) 561-8450
Fax: (636) 561-8450

The enumeration date for this NPI number is 11/22/2020 and was last updated on 9/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist43211TENNESSEENo
2183500000XPharmacist051.304733ILLINOISNo
3183500000XPharmacist26029005AINDIANANo
4183500000XPharmacist2022011896MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.