DR. TIMOTHY-JOHN GRAINGER-ROUSSEAU (NPI# 1255521720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255521720 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY-JOHN GRAINGER-ROUSSEAU |
| Credential | BPHARM, PHD, RPH |
| Practice Address |
24220 W Newberry Rd Newberry FL 32669 |
| Mailing Address |
24220 W Newberry Rd Newberry FL 32669-2211 |
| Practice Telephone | 3524729001 |
| Practice Fax Number | 3524728776 |
| Mailing Telephone | 3524729001 |
| Mailing Fax Number | 3524728776 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS32613 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CONSULTANT PHARMACIST | PU8325 | 01 |
| FL | PHARMACIST | PS32613 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 E University Ave, Gainesville, FL 326415614 | 3523800131 | 3523800223 |
| 15560 Nw Us Highway 441, Alachua, FL 326155168 | 3864181444 | 3864181440 |
| Street Address |
24220 W NEWBERRY RD |
| City | NEWBERRY |
| State | FL |
| Zip Code | 32669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275621450 | Leslie Bennett Brown | Pharmacist | 24220 W Newberry Rd, Hometown Pharmacy, Newberry, FL 32669-2211 | 2006-10-11 |
| 1063057594 | Catherine Olivia Keene | Pharmacist | 24220 W Newberry Rd, Newberry, FL 32669-2211 | 2019-11-07 |
| 1871664888 | Newberry Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 24220 W Newberry Rd, Newberry, FL 32669-2211 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695741 | Jonesville Family Dentistry Pa | Dentist | 175 Nw 138th Terrace, Suite 200, Jonesville, FL 32669 | 2019-12-05 |
| 1952889206 | Guan Physical Therapy and Acupuncture, LLC | Acupuncturist | 13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 | 2018-07-30 |
| 1538611462 | Avery Partners, Inc | Clinic/Center | 105 Sw 140th Terrace, Jonesville, FL 32669 | 2016-10-26 |
| 1760891758 | Fremont Peak Emergency Physicians LLC | Physician Assistant | 12311 W Newberry Road, Newberry, FL 32669 | 2014-08-05 |
| 1962816231 | Advanced Pain Medicine of North Florida LLC | Anesthesiology | 194 Nw 137th Drive, Suite 100, Newberry, FL 32669 | 2014-06-16 |
| 1336571611 | Martin Kids Dental Health Team | Dentist | 13820 W Newberry Rd Ste 100, Jonesville, FL 32669 | 2013-08-08 |
| 1760825699 | 1st Choice Urgent Care Center LLC | Clinic/Center | 128 Nw 137th Drive, Newberry, FL 32669 | 2013-04-10 |
| 1396088068 | Elsie Laguerre | Occupational Therapist | 105 S.w 140th Terrace, Jonesville, FL 32669 | 2013-04-01 |
| 1144530171 | Dana Smith Haase | Speech-Language Pathologist | 105 S.w. 140th Terrace, Jonesville, FL 32669 | 2010-10-08 |
| 1487853271 | Amanda H Mayberry | Massage Therapist | 25355 West Newberry Rd, Newberry, FL 32669 | 2007-07-12 |
| Find all providers in zip 32669 | ||||
| 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 |
|---|---|---|---|---|
| 1013390061 | Lindsay Hunt | Pharmacist | 2881 Nw 144th Ter, Newberry, FL 32669-2067 | 2015-07-08 |
| 1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
| 1154602613 | Diane Raum | Pharmacist | 13572 Nw 9th Rd, Newberry, FL 32669-8016 | 2011-08-29 |
| 1639471527 | Shawanda Ratchford Matthews | Pharmacist | 2723 Main St, Newberry, SC 29108-4003 | 2010-11-26 |
| 1669683587 | Dan E. Martin | Pharmacist | 90 Sw 250th St, Newberry, FL 32669 | 2007-05-24 |
| 1275621450 | Leslie Bennett Brown | Pharmacist | 24220 W Newberry Rd, Hometown Pharmacy, Newberry, FL 32669-2211 | 2006-10-11 |
| 1376579441 | Ronnie W Cromer | Pharmacist | 1254 Wilson Rd, Newberry, SC 29108-4008 | 2006-06-23 |
| 1346282910 | Candace Cromer Frick | Pharmacist | 1233 Wilson Rd, Newberry, SC 29108-4000 | 2006-06-11 |
| 1023629722 | Osvaldo Vidal | Pharmacist | 14040 W Newberry Rd, Newberry, FL 32669-2763 | 2020-08-14 |
| 1063057594 | Catherine Olivia Keene | Pharmacist | 24220 W Newberry Rd, Newberry, FL 32669-2211 | 2019-11-07 |
| Find all providers in NEWBERRY | ||||
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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.