HEATHER H THEBODO (NPI# 1366980484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366980484 |
| Entity Type | Individual |
| Full Name | HEATHER H THEBODO |
| Credential | RPH |
| Practice Address |
47-49 Lake Avenue Extention Danbury CT 06811 |
| Practice Telephone | 2037787471 |
| Practice Fax Number | 2037787477 |
| Mailing Telephone | 2037787471 |
| Mailing Fax Number | 2037787477 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7803 | CT | Pharmacy Service Providers |
| Street Address |
47-49 LAKE AVENUE EXTENTION |
| City | DANBURY |
| State | CT |
| Zip Code | 06811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285361 | Domonique Danza | Massage Therapist | 34 Mill Plain Rd, Danbury, CT 06811 | 2019-09-20 |
| 1538683552 | Walgreen Co | Pharmacy | 113/115 Mill Plain Rd, Danbury, CT 06811 | 2017-08-01 |
| 1851848824 | Ellen Lyall | Dental Hygienist | 6 Field Road, Danbury, CT 06811 | 2016-09-07 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| 1063757730 | Rabiya Ansari-johnston | Occupational Therapist | 1 Glen Hill Road, Danbury, CT 06811 | 2012-12-06 |
| 1407167851 | Appalachian Chiropractic and Wellness LLC | Chiropractor | 103 Mill Plain Road, Suite 1, Danbury, CT 06811 | 2010-06-30 |
| 1730395294 | David P Rentler | Psychologist | 33 and One Half Pembroke Rd, Danbury, CT 06811 | 2007-05-14 |
| 1770704074 | Loretta Marie Osik | Naturopath | One Maplewood Dr, Danbury, CT 06811 | 2007-05-02 |
| 1932227733 | Lorena Jean Tesbir | Counselor | 2 Glen Hill Road, Danbury, CT 06811 | 2007-03-27 |
| 1306985841 | Bonnie Jean Halderson | Nurse Practitioner | 33 One Half Pembroke Road, Danbury, CT 06811 | 2007-02-05 |
| Find all providers in zip 06811 | ||||
| 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 |
|---|---|---|---|---|
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1205374329 | Amy Steckler | Pharmacist | 95 Locust Ave Ste 100, Danbury, CT 06810-6148 | 2017-02-09 |
| 1336699198 | Remya S. Christison | Pharmacist | 28c Benedict Ave, Danbury, CT 06810-5429 | 2016-10-05 |
| 1235685546 | Cynthia Lucas | Pharmacist | 47 Lake Avenue Ext, Danbury, CT 06811-5259 | 2016-08-27 |
| 1285073312 | Akinwunmi John Makinde | Pharmacist | 56 Tucker St, Danbury, CT 06810-5133 | 2013-06-21 |
| 1174877120 | Marianne Carlson | Pharmacist | 95 Locust Ave, Suite 100, Walgreens, Danbury, CT 06810 | 2012-10-30 |
| 1457625733 | Manan Dave | Pharmacist | 16 Ashley Ct, Danbury, CT 06810-7288 | 2012-03-03 |
| 1598040180 | Lisa Marie Taylor | Pharmacist | 75 83 Main St, Danbury, CT 06810 | 2011-10-15 |
| 1467740449 | Mark Osowski | Pharmacist | 113 Mill Plain Rd, Danbury, CT 06811-5277 | 2011-07-12 |
| 1093008856 | Rumpa Akhter | Pharmacist | 1 Padanaram Rd # A, Danbury, CT 06811-4836 | 2011-05-25 |
| Find all providers in DANBURY | ||||
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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.