JACOB STEFAN (NPI# 1184224149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184224149 |
| Entity Type | Individual |
| Full Name | JACOB STEFAN |
| Practice Address |
6244 Wilmington Pike Centerville OH 45459-7024 |
| Practice Telephone | 9378483218 |
| Mailing Telephone | 9378483218 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03124731 | OH | Pharmacy Service Providers |
| Street Address |
6244 WILMINGTON PIKE |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700803988 | Wal-mart Stores East Lp | Pharmacy | 6244 Wilmington Pike, Centerville, OH 45459-7024 | 2006-07-16 |
| 1457952327 | Deborah Ruth Sawvel | Pharmacist | 6244 Wilmington Pike, Centerville, OH 45459-7024 | 2020-11-05 |
| 1558961151 | Catherine Lynn Berry | Pharmacist | 6244 Wilmington Pike, Centerville, OH 45459-7024 | 2020-11-01 |
| 1033440870 | Dr. Jason T. Mccain O.d. P.C. | Optometrist | 6244 Wilmington Pike, Centerville, OH 45459-7024 | 2010-01-19 |
| 1780697417 | Jason T Mccain | Optometrist | 6244 Wilmington Pike, Centerville, OH 45459 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| 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 |
|---|---|---|---|---|
| 1457952459 | Deanna Rae Moultrie | Pharmacist | 1268 N 225 W, Centerville, UT 84014-1104 | 2020-11-05 |
| 1124447636 | Thomas Mowbray | Pharmacist | 9352 Lebanon Pike, Centerville, OH 45458-3843 | 2014-04-11 |
| 1053651166 | Amy Spencer | Pharmacist | 609 N. 18th Street, Centerville, IA 52544 | 2013-02-26 |
| 1306123856 | Robert Diercks | Pharmacist | 207 Sanderson Dr, Centerville, OH 45459-1908 | 2011-11-11 |
| 1104113489 | Scott David Larsen | Pharmacist | 200 North Marketplace Drive, Centerville, UT 84025 | 2011-07-07 |
| 1730487216 | Hanh Pham | Pharmacist | 2900 Watson Blvd, Centerville, GA 31028-1771 | 2011-03-07 |
| 1861797979 | Loretta Lynne Wheeless | Pharmacist | 1797 Highway 100, Centerville, TN 37033-1063 | 2011-01-20 |
| 1003059163 | Brenda H Corbett | Pharmacist | 898 S Main St, Centerville, OH 45458-3439 | 2009-04-19 |
| 1538320692 | Cindy L Baker | Pharmacist | 650 Highway 100, Centerville, TN 37033-1214 | 2008-06-21 |
| 1770701450 | Douglas E Rechis | Pharmacist | 827 Sunrise Cir, Centerville, UT 84014-2576 | 2007-04-20 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.