JUSTIN FRU (NPI# 1669876926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669876926 |
| Entity Type | Individual |
| Full Name | JUSTIN FRU |
| Practice Address |
5300 Cornerstone North Blvd Centerville OH 45440-2268 |
| Practice Telephone | 9376406010 |
| Mailing Telephone | 9376406010 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2016-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03130053 | OH | Pharmacy Service Providers |
| Street Address |
5300 CORNERSTONE NORTH BLVD |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45440-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053452110 | Tracy Tate | Optometrist | 5300 Cornerstone North Blvd, Centerville, OH 45440-2268 | 2007-02-10 |
| 1699168229 | Costco Wholesale Corporation | Hearing Aid Equipment | 5300 Cornerstone North Blvd, Centerville, OH 45440-2268 | 2015-03-06 |
| 1942691795 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5300 Cornerstone North Blvd, Centerville, OH 45440-2268 | 2015-02-16 |
| 1679988398 | Costco Wholesale Corporation | Pharmacy | 5300 Cornerstone North Blvd, Centerville, OH 45440 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| Find all providers in zip 45440 | ||||
| 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 |
|---|---|---|---|---|
| 1457952459 | Deanna Rae Moultrie | Pharmacist | 1268 N 225 W, Centerville, UT 84014-1104 | 2020-11-05 |
| 1124447636 | Thomas Mowbray | Pharmacist | 9352 Lebanon Pike, Centerville, OH 45458-3843 | 2014-04-11 |
| 1053651166 | Amy Spencer | Pharmacist | 609 N. 18th Street, Centerville, IA 52544 | 2013-02-26 |
| 1306123856 | Robert Diercks | Pharmacist | 207 Sanderson Dr, Centerville, OH 45459-1908 | 2011-11-11 |
| 1104113489 | Scott David Larsen | Pharmacist | 200 North Marketplace Drive, Centerville, UT 84025 | 2011-07-07 |
| 1730487216 | Hanh Pham | Pharmacist | 2900 Watson Blvd, Centerville, GA 31028-1771 | 2011-03-07 |
| 1861797979 | Loretta Lynne Wheeless | Pharmacist | 1797 Highway 100, Centerville, TN 37033-1063 | 2011-01-20 |
| 1003059163 | Brenda H Corbett | Pharmacist | 898 S Main St, Centerville, OH 45458-3439 | 2009-04-19 |
| 1538320692 | Cindy L Baker | Pharmacist | 650 Highway 100, Centerville, TN 37033-1214 | 2008-06-21 |
| 1770701450 | Douglas E Rechis | Pharmacist | 827 Sunrise Cir, Centerville, UT 84014-2576 | 2007-04-20 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45440 |
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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.