SAMIR KHALDI (NPI# 1487899670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487899670 |
| Entity Type | Individual |
| Full Name | SAMIR KHALDI |
| Practice Address |
1727 Black River Boulevard Rome NY 13440 |
| Mailing Address |
26 Moseley St Whitesboro NY 13492-1516 |
| Practice Telephone | 3153368890 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 042562 | NY | Pharmacy Service Providers |
| Street Address |
1727 BLACK RIVER BOULEVARD |
| City | ROME |
| State | NY |
| Zip Code | 13440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639288194 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 1727 Black River Boulevard, Rome, NY 13440-2425 | 2006-08-29 |
| 1962727131 | Walter Gustav Hagues | Pharmacist | 1727 Black River Boulevard, Rome, NY 13440-0000 | 2010-03-31 |
| 1861715328 | Norene Relyea Pfendler | Pharmacist | 1727 Black River Boulevard, Rome, NY 13440 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1770135246 | Nys Doccs Mohawk Correctional Facility Pharmacy | Pharmacist | 6514 Rt. 26, Building 55, Rome, NY 13442 | 2019-07-15 |
| 1891170650 | Colleen Foose | Pharmacist | 7695 Kilbourn Rd, Rome, NY 13440-6332 | 2015-07-22 |
| 1104201169 | Zachery Yates | Pharmacist | 6437 Monument Rd, Rome, NY 13440-7209 | 2015-07-20 |
| 1205210259 | Alex Gelfand | Pharmacist | 2006 Maple Ave Sw, Rome, GA 30161-6739 | 2015-07-18 |
| 1487049383 | Christopher Ryan Coker | Pharmacist | 681 Ervin Coker Rd Ne, Rome, GA 30161-3939 | 2015-03-30 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1891196416 | Kyle David Giczkowski | Pharmacist | 6408 Edgewood Dr, Rome, NY 13440-1938 | 2014-09-15 |
| 1669899100 | Kevin Hoehn | Pharmacist | 7576 Watson Hollow Rd, Rome, NY 13440-1524 | 2014-03-22 |
| 1871929422 | Amanda Elyse Zell | Pharmacist | 435 Turner Mccall Blvd Ne, Rome, GA 30165-2735 | 2013-09-15 |
| Find all providers in ROME | ||||
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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.