MR. THOMAS R NETTLES (NPI# 1104095793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104095793 |
| Entity Type | Individual |
| Full Name | MR. THOMAS R NETTLES |
| Credential | RPH |
| Practice Address |
3750 Mount Read Boulevard Cvs Pharmacy Rochester NY 14616 |
| Mailing Address |
2937 W Kendall Rd Holley NY 14470-9519 |
| Practice Telephone | 5855815101 |
| Practice Fax Number | 5855812646 |
| Mailing Telephone | 5856385843 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 045260 | NY | Pharmacy Service Providers |
| Street Address |
3750 MOUNT READ BOULEVARD CVS PHARMACY |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776786 | Seneca Rx LLC | Pharmacy | 2780 Dewey Ave., Rochester, NY 14616 | 2018-10-19 |
| 1760996490 | Carmella Marie Bertolone | Registered Nurse | Longridge Elementary School, 190 Longridge Avenue, Rochester, NY 14616 | 2017-11-16 |
| 1922537117 | Katrina Brianna Martin | Licensed Practical Nurse | 540 Affinity Ln, Rochester, NY 14616 | 2017-06-09 |
| 1679926174 | Aidah Mirembe | Registered Nurse | 4141 Churchill Dr, Rochester, NY 14616 | 2016-07-20 |
| 1114395464 | Alejandro Aguilar | Orthotic Fitter | 314 Mccall Rd, Rochester, NY 14616 | 2015-09-03 |
| 1033507793 | Felecia C Thomas | Licensed Practical Nurse | 240 Joanne Dr. Apt #1, Rochester, NY 14616 | 2015-01-05 |
| 1548606551 | Matthew Teal | Social Worker | 1687 English Road, Rochester, NY 14616 | 2013-05-16 |
| 1982960258 | Tiffany I. Letts | Registered Nurse | 235 Valley Brook Circle, Rochester, NY 14616 | 2012-04-11 |
| 1508157793 | Venus V Scott | Licensed Practical Nurse | 24 Banker Pl, Rochester, NY 14616 | 2011-04-22 |
| 1194987271 | Gail Peterson | Counselor | English Road Psychotherapy, 1800 English Road, Rochester, NY 14616 | 2008-06-30 |
| Find all providers in zip 14616 | ||||
| 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 |
|---|---|---|---|---|
| 1003449257 | Maurice D Bailey | Pharmacist | 75 Mona St, Rochester, NY 14609-3919 | 2020-02-17 |
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1073163770 | Samantha Jo Faso | Pharmacist | 286 Creighton Ln, Rochester, NY 14612-2225 | 2019-09-13 |
| 1255813028 | Cassandra Nicolia | Pharmacist | 898 Guinevere Dr, Rochester, NY 14626-4344 | 2018-08-29 |
| 1023596210 | Hayden Brayer | Pharmacist | 1431 Mount Hope Ave, Rochester, NY 14620-3912 | 2018-07-31 |
| 1295211654 | John Maher | Pharmacist | Mayo Clinic Pharmacy 200 First Street Sw, Rochester, MN 55905-0001 | 2018-07-18 |
| 1497250732 | Dylan Michael Barth | Pharmacist | 1301 1st St Sw Apt B2, Rochester, MN 55902-0337 | 2018-03-28 |
| 1235646498 | Nesreen Mughrabi-jenad | Pharmacist | 4221 W Circle Dr Nw, Rochester, MN 55901-8788 | 2018-01-09 |
| 1477081180 | Thu Hoang | Pharmacist | 1027 7th St Nw Ste 204, Rochester, MN 55901-2666 | 2017-05-24 |
| 1205373248 | Alexandra Schmitt | Pharmacist | 139 Dove Tree Ln, Rochester, NY 14626-4722 | 2017-01-29 |
| Find all providers in ROCHESTER | ||||
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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.