MR. FRED SAMUEL EMMITE (NPI# 1518971258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518971258 |
| Entity Type | Individual |
| Full Name | MR. FRED SAMUEL EMMITE |
| Credential | R.PH., CDM |
| Practice Address |
18230 F.m. 1488 Suite: 100 Magnolia TX 77354 |
| Practice Telephone | 7133838875 |
| Practice Fax Number | 2813569659 |
| Mailing Telephone | 7133838875 |
| Mailing Fax Number | 2813569659 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 23279 | TX | Pharmacy Service Providers |
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
23279 | TX | Pharmacy Service Providers |
| Street Address |
18230 F.M. 1488 SUITE: 100 |
| City | MAGNOLIA |
| State | TX |
| Zip Code | 77354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646771 | Alex Chu | Dentist | 4849 Farm To Market Rd 1488, Suite #800, Magnolia, TX 77354 | 2020-07-21 |
| 1548886948 | Alexander M Beltran | Dentist | 18640 Farm To Market Rd 1488, Suite I, Magnolia, TX 77354 | 2020-06-22 |
| 1710524079 | Keegen Jonelle Barboo | Physician Assistant | 6022 Farm To Market Rd, 1488, Magnolia, TX 77354 | 2019-12-05 |
| 1467097931 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 5667 Fm 1488, Magnolia, TX 77354 | 2019-11-08 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1861909855 | Hays Nichols | Physical Therapy Assistant | Grand Estates 30000 Fm 2978, Apt 532, Magnolia, TX 77354 | 2017-12-29 |
| 1417492620 | Yos Healthcare Services Inc | Home Health | 15 Springtime Creek Dr., The Woodlands, TX 77354 | 2016-12-23 |
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1861813438 | Sandstone Chiropractic Magnolia, Pllc | Chiropractor | 6875 Fm 1488, Suite 1300, Magnolla, TX 77354 | 2013-12-26 |
| 1467897447 | America's Er Site 001, LLC | Clinic/Center | 32784 Fm 2978, Suite A, Magnolia, TX 77354 | 2013-05-06 |
| Find all providers in zip 77354 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543754 | Donna Bellia | Pharmacist | 211 E Creekview Dr, Fredericksburg, TX 78624-5434 | 2019-02-04 |
| 1457844656 | Jean Ann Graham | Pharmacist | 2503 Saratoga Dr, Austin, TX 78733-1240 | 2018-06-12 |
| 1295274397 | People's Wellness Center | Pharmacist | 13860 N Us Highway 183 Ste C, Austin, TX 78750-1203 | 2017-02-22 |
| 1881080109 | Patrece Jones | Pharmacist | 18101 Point Lookout Dr, 343, Houston, TX 77058-3569 | 2015-04-14 |
| 1659771194 | Rick Ferris | Pharmacist | 115 Tower Rd, Valley View, TX 76272-7668 | 2014-09-03 |
| 1447509625 | Barbara Ann Campbell | Pharmacist | 13860 Highway 183 North Suite C, Austin, TX 78750 | 2012-09-05 |
| 1457616708 | David Christian Morcom | Pharmacist | 16306 Shadybank Dr, Dallas, TX 75248-2957 | 2012-07-11 |
| 1881806321 | Todd Wayne Canada | Pharmacist | 1515 Holcombe Boulevard, Unit 377, Division of Pharmacy, Houston, TX 77030-4009 | 2007-05-04 |
| 1720129851 | E. J. Stein | Pharmacist | 2004 W State Highway 29, Burnet, TX 78611-2353 | 2007-02-10 |
| 1730237025 | Elizabeth Rose Kaczmarek | Pharmacist | 108 Arabian Dr, Victoria, TX 77904-3248 | 2007-01-05 |
| Find all providers with the same taxonomy | ||||
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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.