COREY JAMES DUTEAU (NPI# 1356302889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356302889 |
| Entity Type | Individual |
| Full Name | COREY JAMES DUTEAU |
| Credential | R.PH |
| Practice Address |
434 Hurricane Ln Ste 200 Williston VT 05495-2073 |
| Practice Telephone | 8026553544 |
| Practice Fax Number | 8026550123 |
| Mailing Telephone | 8026553544 |
| Mailing Fax Number | 8026550123 |
| Enumeration Date | 2006-04-02 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 045591-1 | NY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 033-0003368 | VT | Pharmacy Service Providers |
| Street Address |
434 HURRICANE LN STE 200 |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255753869 | Pharmacy Direct Delivery LLC | Pharmacy | 434 Hurricane Ln Ste 200, Williston, VT 05495-2073 | 2014-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| 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 |
|---|---|---|---|---|
| 1104435528 | Casey Nichols | Pharmacist | 1500 14th St W Ste 150, Williston, ND 58801-4080 | 2020-07-31 |
| 1669989349 | Brittany Wyndham | Pharmacist | 12935 Main Street, Williston, SC 29853 | 2018-01-04 |
| 1942664669 | Stacey Smith | Pharmacist | 124845 Main St, Williston, SC 29853-2711 | 2016-04-08 |
| 1891039533 | Molly Mix Lewis | Pharmacist | 2466 St George Rd, Cvs, Williston, VT 05495-7432 | 2012-11-19 |
| 1386936540 | Brian Bruyns | Pharmacist | 600 Blair Park Rd, Suite 195, Williston, VT 05495-7586 | 2011-05-06 |
| 1144528407 | Wanda Platt | Pharmacist | 12845 Main St, Williston, SC 29853-2711 | 2011-03-09 |
| 1528277001 | Thomas Patrick Ryan Jr. | Pharmacist | 863 Harvest Lane, Williston, VT 05495 | 2007-05-22 |
| 1992829097 | M Jacklynn Estes | Pharmacist | 108 Cornerstone Dr, Williston, VT 05495-4034 | 2007-03-16 |
| 1013062363 | Lisa J.w. Borreson | Pharmacist | 317 Main, Williston, ND 58801 | 2007-01-25 |
| 1720146897 | Barbara F. Underhill | Pharmacist | 1811 Crest St, Williston, ND 58801-3315 | 2006-12-04 |
| Find all providers in WILLISTON | ||||
Please comment or provide details below to improve the information on COREY JAMES DUTEAU.
| 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.