DR. LANETTE J SIPPLE (NPI# 1144644626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144644626 |
| Entity Type | Individual |
| Full Name | DR. LANETTE J SIPPLE |
| Credential | PHARMD |
| Practice Address |
12500 Willowbroook Road Pharmacy Department Cumberland MD 21501 |
| Mailing Address |
12500 Willowbroook Road, Po Box 539 Pharmacy Department Cumberland MD 21501 |
| Practice Telephone | 2409642161 |
| Mailing Telephone | 2409642161 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21696 | MD | Pharmacy Service Providers |
| Street Address |
12500 WILLOWBROOOK ROAD PHARMACY DEPARTMENT |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790107514 | Shannon Grimsley | Counselor | 10102 Country Club Road, Cumberland, MD 21501 | 2014-01-14 |
| 1104842566 | Melvin R Gonzaga | Anesthesiology | 957 National Hwy, Ste 3, Attn: Melvin Gonzaga, Lavale, MD 21501-0929 | 2006-07-15 |
| 1336134238 | Joseph D. Brandenburg Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10100 Country Club Road, Cumberland, MD 21501-1722 | 2005-09-16 |
| 1215969647 | James Michael Isaac | Occupational Therapist | 10102 Country Club Rd Se, Cumberland, MD 21501-1722 | 2006-07-07 |
| 1568630523 | Rupert Winston Bosley | Dentist | 12503 Willowbrook Rd. Se, Cumberland, MD 21501-1745 | 2008-02-13 |
| 1093996746 | Jeremy Alan Herschler | Psychiatry & Neurology | 12500 Willowbrook Rd Se, Cumberland, MD 21501-1745 | 2007-11-23 |
| 1003035460 | Sue Vauthier Raver | Pediatrics | 12501 Willowbrook Rd, Allegany County Health Department, Cumberland, MD 21501-1745 | 2007-04-24 |
| 1922092337 | Robert Mathis Johnson | Dentist | 12503 Willowbrook Rd. Se, Cumberland, MD 21501-1745 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396107 | Medacute Care LLC | Internal Medicine | 313 Skyview Dr, Cumberland, MD 21502-1929 | 2020-11-03 |
| 1215536933 | Joi Watts | Technician | 16 Potomac St, Cumberland, MD 21502-4754 | 2020-10-23 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
| 1699380154 | Potomac Case Management Services, Inc. | Case Management | 29 Baltimore St, Cumberland, MD 21502-3024 | 2020-09-11 |
| 1629682786 | Asi Health Inc. | Clinic/Center | 217 Glenn St Ste 400, Cumberland, MD 21502-2560 | 2020-09-04 |
| 1437769106 | Charlene Gaughan | Case Manager/Care Coordinator | 509 Rose Hill Ave, Cumberland, MD 21502-3333 | 2020-08-06 |
| 1851900823 | Rachael Lynn Johnson | Occupational Therapist | 309 Willowbrook Rd Ste 2, Cumberland, MD 21502-2500 | 2020-07-27 |
| 1285243311 | Sara Lafreniere | Physician Assistant | 18 Millers Brook Dr, Cumberland, RI 02864-6132 | 2020-07-24 |
| 1730797416 | Ascensions Wellness LLC | Nurse Practitioner | 618 N Mechanic St, Cumberland, MD 21502-2113 | 2020-07-17 |
| Find all providers in CUMBERLAND | ||||
| 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 |
|---|---|---|---|---|
| 1518400779 | Elizabeth Rasombath | Pharmacist | 24 Ivy Ct, Cumberland, RI 02864-3312 | 2016-11-21 |
| 1447671508 | Loriann Collins | Pharmacist | 70 Waumsett Ave, Cumberland, RI 02864-5817 | 2013-12-17 |
| 1649613399 | Nathan Charpentier | Pharmacist | 1623 Mendon Rd, Cumberland, RI 02864 | 2013-04-12 |
| 1225392962 | Sajal Roy | Pharmacist | 217 Glenn St Ste 300, Cumberland, MD 21502 | 2012-06-27 |
| 1457637597 | Rabih Pierre Chahine | Pharmacist | 2100 Highland Corporate Dr, Cumberland, RI 02864-8703 | 2011-11-02 |
| 1457525974 | Lorraine Theresa Mcintosh | Pharmacist | 2136 Mendon Rd, Cumberland, RI 02864-3805 | 2008-04-15 |
| 1538358031 | Danette Conley | Pharmacist | 2307 E Main St, Cumberland, KY 40823-1910 | 2007-10-20 |
| 1215137914 | Keith Matthew Pirolozzi | Pharmacist | 12502 Willowbrook Rd Ste 203, Cumberland, MD 21502-6491 | 2007-07-20 |
| 1922205822 | George R Lauder Jr. | Pharmacist | 650 Washington St, Cumberland, MD 21502-2711 | 2007-07-03 |
| 1275742678 | Edgar Lee Knepper | Pharmacist | 72677 690th St, Cumberland, IA 50843-8072 | 2007-05-22 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21501 |
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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.