DR. THOMAS JACKSON STARK JR. (NPI# 1487941381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487941381 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JACKSON STARK JR. |
| Credential | PHARMD |
| Practice Address |
327 Medical Park Dr Bridgeport WV 26330-9006 |
| Practice Telephone | 6813421580 |
| Mailing Telephone | 6813421580 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2013-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0007086 | WV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174600274 | Thomas Stark | Dentist | 1323 State Highway 27, Somerset, NJ 08873-3457 | 2006-11-01 |
| 1467558700 | Thomas Michael Stark | Dentist | 1212 Duff Avenue, Ames, IA 50010 | 2006-09-15 |
| 1013952266 | Thomas Richard Stark | Dentist | Building 171, 4th & Inner Loop Road, Fort Irwin, CA 92310-5076 | 2006-06-19 |
| 1902881618 | Thomas F. Stark | Pharmacist | 1583 Goodman Ave, Cincinnati, OH 45224-1004 | 2005-12-14 |
| 1417579772 | Thomas Hall Stark IIi | Pharmacist | 240 Slack St, Pea Ridge, AR 72751-3759 | 2020-05-09 |
| 1275775512 | Thomas Stark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-04-01 |
| 1801008081 | Thomas Stark | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2007-05-03 |
| 1205924008 | Thomas Wheeler Stark | Otolaryngology | 18059 Highway 105 W, Suite 115, Montgomery, TX 77356-5000 | 2006-10-10 |
| 1760422315 | Thomas F Stark | Orthopaedic Surgery | 3726 Broadway, Suite 201, Everett, WA 98201-3787 | 2006-06-08 |
| 1912963513 | Thomas E Stark | Family Medicine | 644 Naples St, Chula Vista Naval Branch Clinic, Chula Vista, CA 91911-1636 | 2006-04-22 |
| Street Address |
327 MEDICAL PARK DR |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078381 | James P Litwin Jr. | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2005-07-26 |
| 1497355218 | Justin Daniel Debusca | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-10-30 |
| 1902403934 | Kyle Lehosit | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-10-02 |
| 1003437633 | Jessica Lynn Carder | Emergency Medicine | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-05-05 |
| 1629608278 | Ethan Ramsey | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-01-23 |
| 1386298727 | Courtney Lynn Watkins | Nurse Practitioner | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-07-24 |
| 1689231441 | Olivia Campbell | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-05-28 |
| 1538726369 | Timothy Bryan Mcginnis | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-05-28 |
| 1235793134 | Caleb David Martin | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-04-25 |
| 1518422328 | Amber Nicole Riley | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| 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 |
|---|---|---|---|---|
| 1073162780 | Lauren Mccarthy | Pharmacist | 63 Overlook Dr, Bridgeport, WV 26330-1021 | 2019-09-05 |
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1407391485 | Sangeetha Ravindran | Pharmacist | 978 East Main Street, Bridgeport, CT 06608-4640 | 2016-12-29 |
| 1659734150 | Jignesh Patel | Pharmacist | 2610 E Main St, Briarwoods Shopping Center, Bridgeport, CT 06610-1422 | 2016-04-01 |
| 1811363971 | Victoria Martinez | Pharmacist | 25 Duane Pl, Bridgeport, CT 06610-1125 | 2015-08-12 |
| 1760875660 | Laura Lowther | Pharmacist | 300 West Main St., Bridgeport, WV 26330-1178 | 2015-03-17 |
| 1912312232 | Paige Cloud | Pharmacist | 50452 Al Hwy 277, Bridgeport, AL 35740 | 2014-06-25 |
| 1528486677 | Tonya Jimmie | Pharmacist | 284 Forest Dr, Bridgeport, WV 26330-9535 | 2014-04-04 |
| 1861741654 | Ryan A Bane | Pharmacist | 56130 National Rd, Bridgeport, OH 43912-1529 | 2012-09-07 |
| 1841580909 | Lee Faust | Pharmacist | 6155 Dixie Hwy, Bridgeport, MI 48722-9618 | 2011-04-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.