NANCY DONLEY ROTH (NPI# 1639654296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639654296 |
| Entity Type | Individual |
| Full Name | NANCY DONLEY ROTH |
| Practice Address |
4080 W Northern Ave Pueblo CO 81005-3597 |
| Practice Telephone | 7195610951 |
| Practice Fax Number | 7195619646 |
| Mailing Telephone | 7195610951 |
| Enumeration Date | 2018-09-30 |
| Last Update Date | 2018-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11284 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427539121 | Nancy E. Roth | Social Worker | 8 Hales Holw, Dover, MA 02030-2417 | 2018-08-22 |
| 1447751425 | Nancy Boyce Roth | Speech-Language Pathologist | 111 Dogwood Rd, Annapolis, MD 21403-2701 | 2018-02-23 |
| 1588968820 | Nancy Kay Roth | Speech-Language Pathologist | 5166 Platte River Dr, Fairplay, CO 80440 | 2010-12-30 |
| 1336449586 | Nancy Roth | Registered Nurse | 3751 Nickel Way, Apt 11305, Amherst, NY 14228-5400 | 2010-10-21 |
| 1073830592 | Nancy Lynn Roth | Counselor | 1407 Rhawn St, Philadelphia, PA 19111-2803 | 2010-04-23 |
| 1295936912 | Nancy Roth | Counselor | 1061 Blue Lakes Blvd N, Suite 104, Twin Falls, ID 83301-3362 | 2007-05-30 |
| 1881710416 | Nancy L Roth | Social Worker | 2550 S Parker Rd Ste 400, Aurora, CO 80014-1677 | 2007-03-22 |
| Street Address |
4080 W NORTHERN AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-3597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568489821 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4080 W Northern Ave, Pueblo, CO 81005-3503 | 2006-07-16 |
| 1487269007 | Gerrit Dehaas | Pharmacist | 4080 W Northern Ave, Pueblo, CO 81005-3503 | 2020-09-10 |
| 1528627742 | Clay Creppel | Pharmacist | 4080 W Northern Ave, Walmart 1001 Pharmacy, Pueblo, CO 81005 | 2019-06-11 |
| 1386201788 | Rieko Mukai | Pharmacist | 4080 W Northern Ave, Pueblo, CO 81005-3597 | 2019-05-22 |
| 1982121836 | Jefferey Chheuy | Pharmacist | 4080 W Northern Ave, Pueblo, CO 81005-3503 | 2017-08-22 |
| 1881063303 | 3d Vision Inc | Optometrist | 4080 W Northern Ave, Pueblo, CO 81005-3503 | 2015-09-15 |
| 1508948241 | Wal-mart Stores, Inc. | Technician/Technologist | 4080 W Northern Ave, Pueblo, CO 81005-3503 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| 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 |
|---|---|---|---|---|
| 1861031502 | James Mark Faoro | Pharmacist | 27197 Torchey Way, Pueblo, CO 81006-9757 | 2019-12-28 |
| 1710445424 | Linda Jean Holzrichter | Pharmacist | 1925 E Orman Ave Ste 102, Pueblo, CO 81004-3500 | 2019-03-12 |
| 1225529811 | Megan Keller | Pharmacist | 30393 Everett Rd, Pueblo, CO 81006-9548 | 2018-05-20 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1285161802 | John David Buglewicz | Pharmacist | 1545 S Prairie Ave, Pueblo, CO 81005-2312 | 2017-05-13 |
| 1689114118 | Chandler Follett | Pharmacist | 4743 Eagleridge Cir Apt 305, Pueblo, CO 81008-2277 | 2017-03-02 |
| 1184174229 | Russell Smith | Pharmacist | 2114 Chatalet Ln Apt L, Pueblo, CO 81005-4602 | 2016-10-13 |
| 1134532377 | Karl Aguilera | Pharmacist | 10 Hampton Ln, Pueblo, CO 81001-1722 | 2014-06-05 |
| 1316218035 | Gregory Rice | Pharmacist | 41 Montebello Rd Ste 122, Pueblo, CO 81001-1366 | 2012-01-26 |
| 1023387206 | Adetola A Obiwole | Pharmacist | 4602 N Elizabeth Street Ste. 190, Pueblo, CO 81008-2093 | 2011-12-18 |
| Find all providers in PUEBLO | ||||
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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.