DR. TANEESHA RENE' WATSON


Address: 4100 West Third St (119), Dayton Vamc, Dayton, OH 45428-9998
Phone: 9372686511

DR. TANEESHA RENE' WATSON (NPI# 1568738946) 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) 1568738946
Entity Type Individual
Full Name DR. TANEESHA RENE' WATSON
Credential PHARMD
Practice Address 4100 West Third St (119)
Dayton Vamc
Dayton
OH 45428-9998
Mailing Address 4100 West Third St
Dayton Vamc
Dayton
OH 45428
Practice Telephone 9372686511
Mailing Telephone 9372686511
Enumeration Date 2012-03-29
Last Update Date 2012-03-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH023341 GA Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH.03228310-2 OH Pharmacy Service Providers

Office Location

Street Address 4100 WEST THIRD ST (119)
DAYTON VAMC
City DAYTON
State OH
Zip Code 45428-9998

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407414527 Punyawat Laohakanjanasiri Dentist Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 2019-06-04
1942716303 John Korea Lee Pharmacist 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 2017-12-21
1366876138 Amber J Enterline Pharmacist 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 2013-08-28
1114155793 Jeffrey Michael Munn Dentist 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 2009-06-23
1558516724 Tawnyell Nikko Culpepper Social Worker 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 2008-12-01
1255586376 Prasad V Venkat Physical Therapist 4100 W.third Street, Dayton, OH 45428 2008-11-18
1457435687 Reba E Crowell Nurse Practitioner 4100 West 3rd Street, Dayton, OH 45428 2006-10-24
1386728632 Alicia Joann Weekes-johnson Counselor 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 2006-10-24
1497843049 Margaret Irene Kruckemeyer Nurse Practitioner 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 2006-10-10
1003902545 Mohamed Elmouelhi Internal Medicine 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 2006-10-04
Find all providers in zip 45428

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003449828 Xiao Mei Pharmacist 2917 W Alex Bell Rd, Dayton, OH 45459-1127 2020-02-20
1942716303 John Korea Lee Pharmacist 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 2017-12-21
1811596166 Kimberly Studebaker Pharmacist 2921 W Alex Bell Rd, Dayton, OH 45459-1127 2020-10-19
1346848751 Juliane N Hollon Pharmacist 4506 Brandt Pike, Dayton, OH 45424-6083 2020-10-16
1851907422 Jared Michael Justice Pharmacist 3520 W Siebenthaler Ave, Dayton, OH 45406-1534 2020-09-19
1639701071 Margaret Watkins Pharmacist 3520 W Siebenthaler Ave, Dayton, OH 45406-1534 2020-02-04
1295366284 Robert Elmer Audis Pharmacist 2200 Us Highway 50 E, Dayton, NV 89403-7352 2020-01-29
1629609623 Katherine Arruda Pharmacist 3520 W Siebenthaler Ave, Dayton, OH 45406-1534 2020-01-28
1609407840 Timothy Pulleyn Pharmacist 2200 Us Highway 50 E, Dayton, NV 89403-7352 2020-01-27
1053941393 Jaejoon Won Pharmacist 2200 Us Highway 50 E, Dayton, NV 89403-7352 2020-01-24
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Competitor

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City DAYTON
Zip Code 45428

Improve Information

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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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