EMILY PHYLLIS FERNALD (NPI# 1407074917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407074917 |
| Entity Type | Individual |
| Full Name | EMILY PHYLLIS FERNALD |
| Credential | BSPHARMACY |
| Practice Address |
3073 White Mountain Hwy North Conway NH 03860-5111 |
| Mailing Address |
Po Box 2815 North Conway NH 03860-2815 |
| Practice Telephone | 6033560232 |
| Mailing Telephone | 6039392446 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | R0616 | NH | Pharmacy Service Providers |
| Street Address |
3073 WHITE MOUNTAIN HWY |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647120 | Linda J Barton | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2020-04-02 |
| 1649826413 | Cynthia Hellstein Walsh | Occupational Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-08-16 |
| 1134781602 | Nicole M Veilleux | Advanced Practice Midwife | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-07-03 |
| 1952962979 | Michelle Renee Mattei | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-21 |
| 1689234700 | Adam Scheletsky | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-20 |
| 1053970202 | Marla A Browning | Speech-Language Pathologist | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-06-11 |
| 1124683594 | Melanie Glavin | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-05-01 |
| 1215497631 | Kathryn Villarevia | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-03-21 |
| 1003384488 | Austin Creer | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-11-05 |
| 1235638057 | Jodi Tracy | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083539 | Anna Ballard Haley | Pharmacist | 32 Mountain Valley Blvd, North Conway, NH 03860 | 2020-11-06 |
| 1013564814 | Jaclyn Maine Macdonald | Physical Therapist | 3037 White Mountain Hwy, North Conway, NH 03860 | 2019-08-26 |
| 1770143323 | Amy Russo | Occupational Therapist | 3073 White Mountian Highway, North Conway, NH 03860 | 2019-06-17 |
| 1992207203 | Truecare Physical Therapy LLC | Physical Therapist | 3304 White Mountain Highway, North Conway, NH 03860 | 2018-03-02 |
| 1740708882 | Cm Resort, LLC | Specialist | 239 Skimobile Road, North Conway, NH 03860 | 2017-09-08 |
| 1639553886 | Jonathan Eldridge | Chiropractor | 3294 White Mountain Highway, North Conway, NH 03860 | 2015-07-17 |
| 1043636004 | Karen Merritt | Community Health Worker | 1529 Mount Washington Hwy, North Conway, NH 03860 | 2014-03-13 |
| 1982027710 | Karen Louise Howe | Occupational Therapy Assistant | 1251 White Mountain Way, Mineral Springs Rehab Center, North Conway, NH 03860 | 2014-01-30 |
| 1518202787 | Maryellen Mccarthy | Occupational Therapy Assistant | 1251 White Mtn Hwy, North Conway, NH 03860 | 2012-11-29 |
| 1255605770 | Christine Wilson | Behavioral Analyst | 16 Norcross Circle, North Conway, NH 03860 | 2012-03-01 |
| Find all providers in zip 03860 | ||||
| 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 |
|---|---|---|---|---|
| 1760083539 | Anna Ballard Haley | Pharmacist | 32 Mountain Valley Blvd, North Conway, NH 03860 | 2020-11-06 |
| 1821400193 | Lori Wozniak | Pharmacist | 1351 White Mountain Hwy, North Conway, NH 03860-5155 | 2014-05-21 |
| 1083932040 | Tara Elizabeth Violette | Pharmacist | 1623 White Mountain Hwy, North Conway, NH 03860-5157 | 2010-05-13 |
| 1194943126 | Kevin Michael Mcenaney | Pharmacist | Mwv Pharmacy At The Memorial Hospital, 3073 White Mountain Highway, North Conway, NH 03860-5111 | 2007-04-23 |
| 1639779259 | Kathryn Elizabeth Mcdonald | Pharmacist | 46 N South Rd, North Conway, NH 03860-5122 | 2020-11-01 |
| 1245830355 | Jay Calabro | Pharmacist | 46 N South Rd, North Conway, NH 03860-5122 | 2020-10-28 |
| 1700204278 | Kimberly Mace | Pharmacist | 1498 White Mountain Hwy, North Conway, NH 03860-5183 | 2014-04-02 |
| 1346592441 | Rachel Tatulis | Pharmacist | 1498 White Mountain Hwy, North Conway, NH 03860-5183 | 2012-10-12 |
| 1407137425 | Sara Phillips | Pharmacist | 1498 White Mountain Hwy, North Conway, NH 03860-5183 | 2011-09-03 |
| 1083927685 | Sejal A Patel | Pharmacist | 1623 White Mountain Hwy, North Conway, NH 03860-5157 | 2010-07-23 |
| Find all providers in NORTH CONWAY | ||||
| City | NORTH CONWAY |
| Zip Code | 03860 |
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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.