ERIC PATRICE SEDE NIETCHO


Address: 4107 Aldershot Ct Apt C, Charlotte, NC 28211-4536
Phone: 4176192821

ERIC PATRICE SEDE NIETCHO (NPI# 1467727560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467727560
Entity Type Individual
Full Name ERIC PATRICE SEDE NIETCHO
Practice Address 4107 Aldershot Ct Apt C
Charlotte
NC 28211-4536
Practice Telephone 4176192821
Enumeration Date 2012-03-21
Last Update Date 2012-03-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
20900 NC Pharmacy Service Providers

Office Location

Street Address 4107 ALDERSHOT CT APT C
City CHARLOTTE
State NC
Zip Code 28211-4536

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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396352266 Jamilah E Green Pharmacist 3013 Oconee Ln, Charlotte, NC 28213-4077 2020-09-25
1942537030 Ballantyne Pharmacy LLC Pharmacist 3419 Toringdon Way Ste A-108, Charlotte, NC 28277-2427 2009-11-10
1821299439 Daniel M Tassone Pharmacist 2901 N Davidson St, Apt 251, Charlotte, NC 28205-1078 2007-05-30
1255459400 Michael Cecil Mcilwain Pharmacist 8110 Mallard Creek Rd, Charlotte, NC 28262-2238 2007-03-26
1003986738 Kerry Anne Stiegler Pharmacist 5516 Central Ave, Charlotte, NC 28212-2708 2006-11-09
1447878053 Kristen Nicole Friedland Pharmacist 1167 E Clinton Trl, Charlotte, MI 48813-7318 2020-07-09
1306342035 Maryann Choy-ames Pharmacist 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 2018-04-02
1013300961 Laura Wieland Pharmacist 1167 E Clinton Trl, Charlotte, MI 48813-7318 2015-03-16
1265843031 William Claude Biny Pharmacist 1167 E Clinton Trl, Charlotte, MI 48813-7318 2014-05-15
1720498017 Christin Othmer Pharmacist 1167 E Clinton Trl, Charlotte, MI 48813-7318 2014-05-07
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Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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