MR. JEFFREY LEE PACKECH (NPI# 1104936590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104936590 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY LEE PACKECH |
| Credential | R.PH. |
| Practice Address |
127 E Church St Lock Haven PA 17745-2007 |
| Mailing Address |
420 E End Mountain Rd Mill Hall PA 17751-9449 |
| Practice Telephone | 5707485209 |
| Practice Fax Number | 5707487390 |
| Mailing Telephone | 5707266008 |
| Mailing Fax Number | 5707487390 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP032456L | PA | Pharmacy Service Providers |
| Street Address |
127 E CHURCH ST |
| City | LOCK HAVEN |
| State | PA |
| Zip Code | 17745-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497722128 | Keller & Munro Inc | Durable Medical Equipment & Medical Supplies | 127 E Church St, Lock Haven, PA 17745-2007 | 2006-03-01 |
| 1235240615 | Kevin P Weller | Pharmacist | 127 E Church St, Lock Haven, PA 17745-2007 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760012587 | Clinton County Community Connections Inc | Clinic/Center | 10 N Washington Street, Lock Haven, PA 17745 | 2020-01-21 |
| 1740759539 | Jason Michael Niederriter | Pharmacist | 313-337 West Bald Eagle Street, Lock Haven, PA 17745 | 2018-11-21 |
| 1194240879 | Rene Pacificador Villegas | Physical Therapist | 502 East Howard St., Bellefonte, PA 17745 | 2017-08-03 |
| 1497101638 | Drew Ryan | Student in an Organized Health Care Education/Training Program | 15 Cochise Trail, Lock Haven, PA 17745 | 2016-05-06 |
| 1861766644 | Thomas John Ciuchta | Dentist | 44 E. Church Street, Lock Haven, PA 17745 | 2012-02-27 |
| 1497085021 | Abby Lynn Brown | Social Worker | 206 East Water Street, Lock Haven, PA 17745 | 2010-01-04 |
| 1093976482 | Infant Development Program Inc | Early Intervention Provider Agency | 980 East Water St, Lock Haven, PA 17745 | 2008-06-19 |
| 1073635769 | Richard Lee Powers II | Dentist | 525 High Street, Lock Haven, PA 17745 | 2007-04-04 |
| 1184792863 | Shailendra Nath Kapoor | Urology | 214 High Street, Flemington, PA 17745 | 2006-12-01 |
| 1629156054 | Samuel R Rockey Dmd PC | Dentist | 320 E Water St, Lock Haven, PA 17745 | 2006-11-02 |
| Find all providers in zip 17745 | ||||
| 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 |
|---|---|---|---|---|
| 1740759539 | Jason Michael Niederriter | Pharmacist | 313-337 West Bald Eagle Street, Lock Haven, PA 17745 | 2018-11-21 |
| 1104196450 | Meghan J Malone | Pharmacist | 955 Bellefonte Ave, Lock Haven, PA 17745-3033 | 2012-01-04 |
| 1235240615 | Kevin P Weller | Pharmacist | 127 E Church St, Lock Haven, PA 17745-2007 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | LOCK HAVEN |
| Zip Code | 17745 |
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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.