DR. DOMINIQUE MARIE FIELDS (NPI# 1417191461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417191461 |
| Entity Type | Individual |
| Full Name | DR. DOMINIQUE MARIE FIELDS |
| Credential | PHARMD |
| Practice Address |
65 W. Jimmie Leeds Road Atlanticare Regional Medical Center Galloway NJ 08240 |
| Mailing Address |
65 West Jimmie Leeds Road Atlanticare Regional Medical Center Galloway NJ 08240 |
| Practice Telephone | 6097484018 |
| Practice Fax Number | 6094043889 |
| Mailing Telephone | 6097484018 |
| Mailing Fax Number | 6094043889 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI02424600 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538642038 | Dominique Fields | Case Manager/Care Coordinator | 420 Magnolia St, Houma, LA 70360-6304 | 2018-09-11 |
| Street Address |
65 W. JIMMIE LEEDS ROAD ATLANTICARE REGIONAL MEDICAL CENTER |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598259517 | Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. | Clinic/Center | Stockton College, West Quad Building, Suite 108, Pomona, NJ 08240 | 2018-06-22 |
| 1437427473 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 328 West White Horse Pike, Pomona, NJ 08240 | 2011-12-06 |
| 1760785414 | Manish Niranjan Trivedi | Internal Medicine | 208 West Whitehorse Pike, Pomona, NJ 08240 | 2010-12-17 |
| 1366752933 | Maria Leah Gudia Beyers | Registered Nurse | W Jimmie Leeds Road, Pomona, NJ 08240 | 2010-10-18 |
| 1114249059 | Atlantic Surgical Assistants LLC | General Acute Care Hospital | 266 South Odessa Ave., Pomona, NJ 08240 | 2010-02-19 |
| 1205039500 | Debra Ann Winters | Audiologist | 61 W Jim Leeds Road, Pomona, NJ 08240 | 2007-06-06 |
| 1508072422 | Myrna M Fernandez | Physical Therapy Assistant | Bacharach Institute, 61 West Jim Leeds Rd, Pomona, NJ 08240 | 2007-05-15 |
| 1700090255 | Mary Jo Cogan | Occupational Therapist | 61 W. Jimmy Leeds Road, Pomona, NJ 08240 | 2007-05-10 |
| 1992809131 | Jacqueline A Kelsch-robinson | Chiropractor | Pob 770, 278 St. Joseph St., Pomona, NJ 08240 | 2006-09-08 |
| 1891897161 | Jacqueline A. Robinson, P.C. | Chiropractor | 278 St. Joseph St., Pob 770, Pomona, NJ 08240 | 2006-09-05 |
| Find all providers in zip 08240 | ||||
| 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 |
|---|---|---|---|---|
| 1427407857 | Dustin Dickerson | Pharmacist | 1404 Four Star Dr E, Galloway, OH 43119-8441 | 2016-06-07 |
| 1861863383 | Daniel Distefano | Pharmacist | 236 E Jimmie Leeds Rd Unit A, Galloway, NJ 08205-4134 | 2015-10-09 |
| 1134121809 | David S Fascia | Pharmacist | 401 S Pitney Rd, Galloway, NJ 08205-9780 | 2005-08-12 |
| 1255956397 | Samuel Allen | Pharmacist | 5690 W Broad St, Galloway, OH 43119-8127 | 2020-06-15 |
| 1679003982 | Sean Anthony Swisher | Pharmacist | 236 E Jimmie Leeds Rd Ste C, Galloway, NJ 08205-4134 | 2017-06-19 |
| 1932635968 | Brian Speer | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-11 |
| 1205362167 | Brooke Mazza | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-11 |
| 1619403318 | Michael Welty | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-02 |
| 1730429085 | Ruth Mary Hackney | Pharmacist | 65 W Jimmie Leeds Rd, Galloway, NJ 08205-9403 | 2013-02-25 |
| 1720365067 | Michael Peter Barone | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-15 |
| Find all providers in GALLOWAY | ||||
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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.