MR. JACK H EATON (NPI# 1720068232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720068232 |
Entity Type | Individual |
Full Name | MR. JACK H EATON |
Credential | RPH |
Practice Address |
176 Lee Ave Brooklyn NY 11211 |
Practice Telephone | 7188553070 |
Practice Fax Number | 7185964657 |
Mailing Telephone | 7188553070 |
Mailing Fax Number | 7185964657 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2009-06-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 0238781 | NY | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00263410 | 05 | |
NY | PHARMACIST LICENSE | 023878 | 01 |
NABP | 3326673 | 01 |
Street Address |
176 LEE AVE |
City | BROOKLYN |
State | NY |
Zip Code | 11211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104803451 | S Bros Inc | Pharmacy | 176 Lee Ave, Brooklyn, NY 11211-8048 | 2005-12-28 |
1144618174 | Rx Scripts Inc | Pharmacy | 176 Lee Ave, Brooklyn, NY 11211-8048 | 2014-12-29 |
1487802518 | Tsabikos Foutoulis | Pharmacist | 176 Lee Ave, Brooklyn, NY 11211-8048 | 2008-09-03 |
1023096534 | Gerald Gold | Pharmacist | 176 Lee Ave, Brooklyn, NY 11211-8048 | 2006-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
Find all providers in zip 11211 |
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 |
---|---|---|---|---|
1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
1417563271 | Kareem Abdelhadi | Pharmacist | 482 E 2nd St, Brooklyn, NY 11218-4504 | 2020-09-17 |
1447862495 | Pamella Pisahov | Pharmacist | 1699 E 34th St, Brooklyn, NY 11234-4222 | 2020-08-20 |
1013527878 | Amanda Ye | Pharmacist | 1152 67th St Apt 3b, Brooklyn, NY 11219-5949 | 2020-08-06 |
1710503891 | Sinai Marisol Polanco Diaz | Pharmacist | 28 Nichols Ave, Brooklyn, NY 11208-1510 | 2020-06-24 |
1588284541 | Melissa Aristide | Pharmacist | 1403 E 88th St, Brooklyn, NY 11236-5119 | 2020-04-20 |
1255960852 | Michelle Isabella Zeltser | Pharmacist | 2821 Batchelder St, Brooklyn, NY 11235-1897 | 2020-04-06 |
Find all providers in BROOKLYN |
Please comment or provide details below to improve the information on MR. JACK H EATON.
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.