TINA STOLL GRAHAM (NPI# 1619247152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619247152 |
| Entity Type | Individual |
| Full Name | TINA STOLL GRAHAM |
| Credential | RPH |
| Practice Address |
3280 S Crater Rd Petersburg VA 23805-9217 |
| Practice Telephone | 8047332572 |
| Mailing Telephone | 8047332572 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202205458 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790038503 | Tina Graham | Physical Therapy Assistant | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2012-10-17 |
| 1609124635 | Tina Renee Graham | Nurse Practitioner | 2151 Century Ln, Johnson City, TN 37604-4469 | 2012-08-23 |
| 1548374879 | Tina S Graham | Nurse Practitioner | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-08-17 |
| Street Address |
3280 S CRATER RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| 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 |
|---|---|---|---|---|
| 1457997850 | Kim Porter | Pharmacist | 1522 Main Street, Petersburg, TX 79250 | 2019-11-20 |
| 1659815322 | Mark Saville | Pharmacist | 86 Saullie Evans Dr, Petersburg, WV 26847-7014 | 2016-12-14 |
| 1851729495 | Fontellia Yates | Pharmacist | 1026 Dakar Dr, Petersburg, VA 23803-4804 | 2013-10-16 |
| 1881937761 | Catherine Kowalski | Pharmacist | 215 North Nordic Drive, Petersburg, AK 99833-1209 | 2013-03-29 |
| 1275822744 | Rite Aid Pharmacy | Pharmacist | 2141 S Crater Rd, Petersburg, VA 23805-2701 | 2011-04-05 |
| 1427356807 | Sharon Easton Kannegieter | Pharmacist | 4310 Westgate Rd, Petersburg, VA 23803-6571 | 2011-03-08 |
| 1912119868 | Michael Lamar Dupree | Pharmacist | Fcc Petersburg Medium Attn Pharmacy Svc, 1060 River Road Box 90042, Petersburg, VA 23804 | 2007-05-04 |
| 1275656738 | Elizabeth Mitchell Smith | Pharmacist | 3330 S Crater Rd, Petersburg, VA 23805-9277 | 2007-04-09 |
| 1104946342 | Erica Worhatch | Pharmacist | 215 North Nordic Dr, Petersburg, AK 99833 | 2007-03-30 |
| 1396880738 | John Edward Wall | Pharmacist | 26317 W. Washington Street Extended, Petersburg, VA 23803-0030 | 2007-02-21 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.