TIMOTHY CARTER III (NPI# 1124626742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124626742 |
| Entity Type | Individual |
| Full Name | TIMOTHY CARTER III |
| Practice Address |
1161 E Dayton Yellow Springs Rd Fairborn OH 45324-6325 |
| Mailing Address |
150 Tri County Pkwy Springdale OH 45246-3217 |
| Practice Telephone | 5133183920 |
| Practice Fax Number | 5133183921 |
| Mailing Telephone | 5137823366 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03337164 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255691010 | Timothy Jerome Carter | Counselor | 110 Belvedere, Greenville, SC 29605 | 2012-05-25 |
| 1720304074 | Timothy Carter | Surgery | 1111 Montauk Hwy Ste 3-3, West Islip, NY 11795-4910 | 2010-04-12 |
| 1962646703 | Timothy Andrew Carter | Emergency Medicine | 3801 Denver Ave, Corpus Christi, TX 78411-1246 | 2009-04-23 |
| 1548248859 | Timothy Charles Carter | Dentist | 418 Savannah Trace Dr, Clarksville, TN 37043-5442 | 2006-01-06 |
| 1154311652 | Timothy D Carter | Psychiatry & Neurology | 1223 Gateway Dr Ste 2g, Melbourne, FL 32901-2607 | 2005-10-26 |
| 1740889526 | Timothy Carter | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-22 |
| 1003295916 | Timothy Joe Carter II | Nurse Anesthetist, Certified Registered | 1900 N. Higley Road, Gilbert, AZ 85234-1604 | 2015-05-26 |
| 1225152358 | Timothy Paul Carter | Dentist | 73 Princeton St, North Chelmsford, MA 01863-1558 | 2007-03-16 |
| 1851451637 | Timothy J Carter | Chiropractor | 1647 Inkster Rd, Garden City, MI 48135-3086 | 2006-12-11 |
| 1053369413 | Timothy Craig Carter | Radiology | 13001 Southern Boulevard, Palms West Hospital, Loxahatchee, FL 33470 | 2006-05-05 |
| Street Address |
1161 E DAYTON YELLOW SPRINGS RD |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324-6325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831123546 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1161 E Dayton Yellow Springs Rd, Fairborn, OH 45324-6325 | 2006-07-10 |
| 1962033027 | Joy Michelle Ely | Pharmacist | 1161 E Dayton Yellow Springs Rd, Fairborn, OH 45324-6325 | 2020-01-28 |
| 1831739374 | Chad Elkins | Pharmacist | 1161 E Dayton Yellow Springs Rd, Fairborn, OH 45324-6325 | 2020-01-13 |
| 1104341973 | Sara Rodgers | Nurse Practitioner | 1161 E Dayton Yellow Springs Rd, Fairborn, OH 45324-6325 | 2017-08-13 |
| 1215450010 | Amy B Monteau | Nurse Practitioner | 1161 E Dayton Yellow Springs Rd, Fairborn, OH 45324-6325 | 2017-07-24 |
| 1740403401 | Kroger Pharmacy | Pharmacist | 1161 E Dayton Yellow Springs Rd, Fairborn, OH 45324-6325 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962033027 | Joy Michelle Ely | Pharmacist | 1161 E Dayton Yellow Springs Rd, Fairborn, OH 45324-6325 | 2020-01-28 |
| 1831739374 | Chad Elkins | Pharmacist | 1161 E Dayton Yellow Springs Rd, Fairborn, OH 45324-6325 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
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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.