MR. KENNETH JOHN MUSTO JR. (NPI# 1679604680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679604680 |
| Entity Type | Individual |
| Full Name | MR. KENNETH JOHN MUSTO JR. |
| Credential | R.PH. |
| Practice Address |
100 S Main St Suite 104 Smyrna DE 19977-1477 |
| Mailing Address |
Po Box 1 Smyrna DE 19977-0001 |
| Practice Telephone | 3026539355 |
| Mailing Telephone | 3026531653 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | A1-0002433 | DE | Pharmacy Service Providers |
| Street Address |
100 S MAIN ST SUITE 104 |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063966406 | Amanda Jamieson | Nurse Practitioner | 100 S Main St, Suite Number 205, Smyrna, DE 19977-1477 | 2016-08-14 |
| 1922450378 | Adeyinka O. Reid | Registered Nurse | 100 S Main St, Smyrna Women's Health, Smyrna, DE 19977-1477 | 2016-07-11 |
| 1508268178 | Bayhealth Medical Center, Inc. | Clinic/Center | 100 S Main St, Suite 201, Smyrna, DE 19977-1477 | 2014-09-25 |
| 1205111010 | Christiana Care Health Services Inc | Clinic/Center | 100 S Main St, Smyrna Health & Wellness Center, Suite 100, Smyrna, DE 19977-1477 | 2011-10-13 |
| 1467750729 | Emg Medical, Pa | Neuromusculoskeletal Medicine & OMM | 100 S Main St, Suite 216, Smyrna, DE 19977-1477 | 2011-03-09 |
| 1770814006 | Delaware Sleep Disorder Centers, LLC | Clinic/Center | 100 S Main St, Suite 201, Smyrna, DE 19977-1477 | 2010-01-27 |
| 1821327818 | Pain Management and Emg Services, Pa | Physical Medicine & Rehabilitation | 100 S Main St, Smyrna, DE 19977-1477 | 2009-12-22 |
| 1356670095 | Emg Services, LLC | Physical Medicine & Rehabilitation | 100 S Main St, Suite 216, Smyrna, DE 19977-1477 | 2009-12-09 |
| 1295060622 | Pure Wellness of Smyrna, LLC | Chiropractor | 100 S Main St, Suite 218, Smyrna, DE 19977-1477 | 2009-10-02 |
| 1528214236 | Zweiacher Chiropractic Services | Chiropractor | 100 S Main St, Suite 204, Smyrna, DE 19977-1477 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| 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 |
|---|---|---|---|---|
| 1528628252 | Amy J Campbell | Pharmacist | 133 Bordeaux Ct, Smyrna, TN 37167-4606 | 2019-06-14 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1518483171 | Yvener Charles | Pharmacist | 969 Windy Hill Rd Se Ste A, Smyrna, GA 30080-2025 | 2017-08-16 |
| 1497271282 | Elizabeth Lai | Pharmacist | 3253 Polo Run Cir Se, Smyrna, GA 30082-2454 | 2017-08-14 |
| 1043759988 | Roxanne Musharrafeia | Pharmacist | 4003 Saint Jules Way, Smyrna, TN 37167-7562 | 2017-02-13 |
| 1316494420 | Elizabeth Daniel | Pharmacist | 3250 Millwood Trl Se, Smyrna, GA 30080-1602 | 2016-09-07 |
| 1629450606 | Tzu-wei Huang | Pharmacist | 3303 Fieldwood Dr Se, Smyrna, GA 30080-1611 | 2015-06-25 |
| 1629486436 | Vickie Andros | Pharmacist | 200 Technology Ct Se Ste B, Smyrna, GA 30082-5201 | 2014-07-24 |
| 1144568536 | Jacinta E Jackson | Pharmacist | 2148 S Cobb Dr Se, Smyrna, GA 30080-1348 | 2013-01-21 |
| 1710224662 | Brandi Fannon | Pharmacist | 1950 Lake Park Dr Se, Smyrna, GA 30080-7648 | 2013-01-12 |
| Find all providers in SMYRNA | ||||
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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.