DR. JODI V. ETTARE (NPI# 1245412964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245412964 |
Entity Type | Individual |
Full Name | DR. JODI V. ETTARE |
Credential | PHARM.D. |
Practice Address |
22776 Timberlake Rd Suite C Lynchburg VA 24502-7310 |
Mailing Address |
194 N Lake Dr Lynchburg VA 24502-6661 |
Practice Telephone | 4342373331 |
Practice Fax Number | 4342373313 |
Mailing Telephone | 4345255131 |
Enumeration Date | 2007-12-04 |
Last Update Date | 2007-12-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0202205862 | VA | Pharmacy Service Providers |
Street Address |
22776 TIMBERLAKE RD SUITE C |
City | LYNCHBURG |
State | VA |
Zip Code | 24502-7310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588842959 | Valley Compounding Pharmacy, P.C. | Pharmacy | 22776 Timberlake Rd, Suite C, Lynchburg, VA 24502-7310 | 2008-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
Find all providers in zip 24502 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831731504 | Yingkai Tong | Pharmacist | 1288 Middleton Ct, Vienna, VA 22182-1489 | 2019-10-14 |
1033600135 | Benjamin Van Tassell | Pharmacist | 410 North 12th Street, Room 660a, Vcu School of Pharmacy, Box 980533, Richmond, VA 23298-0533 | 2018-05-23 |
1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
1861850380 | John Gardner | Pharmacist | 3735 Franklin Rd Sw, Roanoke, VA 24014-2260 | 2016-01-29 |
1447632237 | Edith Murray | Pharmacist | 270 W Bute St, Apt. 1401, Norfolk, VA 23510-1438 | 2015-06-29 |
1649683343 | Thomas Tekalign | Pharmacist | 9510 Daniel French St, Lorton, VA 22079-2328 | 2014-06-10 |
1982016390 | Tonya Coles Davis | Pharmacist | 7708 Balla Ct, Henrico, VA 23228-6345 | 2014-05-20 |
1457607368 | Michael Edward Kieffer | Pharmacist | 718 Day Ln, Alexandria, VA 22314-6247 | 2012-07-29 |
1518238443 | Eugene Irwin Erb | Pharmacist | 1159 Grand Oaks Dr, Forest, VA 24551-4650 | 2012-01-24 |
1730471244 | Scotty R Matney | Pharmacist | 11223 Indian Creek Rd, Pound, VA 24279 | 2011-05-03 |
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.