DR. CRAIG C VAN KEUREN (NPI# 1427568625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427568625 |
| Entity Type | Individual |
| Full Name | DR. CRAIG C VAN KEUREN |
| Credential | PHARMD |
| Practice Address |
133 Old Road To 9 Acre Cor Concord MA 01742-4159 |
| Practice Telephone | 9782873770 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH237696 | MA | Pharmacy Service Providers |
| Street Address |
133 OLD ROAD TO 9 ACRE COR |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421523 | Gerald Oscar Malkin | Anesthesiology | 133 Old Road To 9 Acre Cor, Emerson Hospital Department of Anesthesia, Concord, MA 01742-4159 | 2005-10-19 |
| 1205437498 | Shane Scavello | Physician Assistant | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-11-04 |
| 1568080588 | Emily Stekl | Pharmacist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-07-07 |
| 1184249237 | Annie Yuan | Student in an Organized Health Care Education/Training Program | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-06-15 |
| 1255956215 | Quyen Thuy Cao | Student in an Organized Health Care Education/Training Program | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-06-15 |
| 1720619711 | Joseph Eddy | Pharmacist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4169 | 2020-01-29 |
| 1518508035 | Evan Salvatore | Dietitian, Registered | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2019-10-06 |
| 1508324195 | Maria Antonucci | Pharmacy | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2019-03-04 |
| 1558847525 | Rachael Greenleaf | Nurse Anesthetist, Certified Registered | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4169 | 2018-07-12 |
| 1740771807 | Sarah A Mistretta | Speech-Language Pathologist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| 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 |
|---|---|---|---|---|
| 1598376246 | Mazen A Seleem | Pharmacist | 1467 Balhan Dr Apt 106, Concord, CA 94521-3754 | 2020-08-14 |
| 1912538422 | Mohammed Youssef | Pharmacist | 1495 Balhan Dr Apt 208, Concord, CA 94521-3772 | 2020-02-03 |
| 1013477694 | Joseph Pirani | Pharmacist | 1 Granite Pl Ste N200, Concord, NH 03301-3274 | 2019-03-21 |
| 1386112548 | Andrew Barlow | Pharmacist | 631 Gable Oaks Ln Nw, Concord, NC 28027-5203 | 2018-11-06 |
| 1194293498 | Jeffrey Michael Cho | Pharmacist | 954 Rosehedge Ct, Concord, CA 94521-5453 | 2018-11-05 |
| 1720553951 | Lindsi Tillo | Pharmacist | 300 Poplar Station Cir Nw Apt 301, Concord, NC 28027-8363 | 2018-10-03 |
| 1144700261 | Susan Elizabeth Burpee | Pharmacist | 2837 Saint Joseph Dr, Concord, CA 94518-2154 | 2018-08-17 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1558806364 | Kirthana Beaulac | Pharmacist | 649 Cambridge Tpke, Concord, MA 01742-3726 | 2017-01-03 |
| Find all providers in CONCORD | ||||
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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.