BRIAN LOGUE (NPI# 1730234212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730234212 |
| Entity Type | Individual |
| Full Name | BRIAN LOGUE |
| Credential | PHARMD |
| Practice Address |
45 Pine St 1st Medical Group Langley Afb VA 23665-2025 |
| Mailing Address |
77 Nealy Ave 1st Medical Group Langley Afb VA 23665-2040 |
| Practice Telephone | 7577646497 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
019940 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649345786 | Brian Wayne Logue | Pharmacist | 101 N University St, Isu Health Service Pharmacy, Normal, IL 61790-2540 | 2006-11-22 |
| 1467450767 | Brian J Logue | Urology | 2907 S Mcintire Dr, Bloomington, IN 47403-4224 | 2005-07-11 |
| 1134731631 | Brian Logue | Pharmacist | 4926 Cane Run Rd, Louisville, KY 40216-1149 | 2020-08-18 |
| Street Address |
45 PINE ST 1ST MEDICAL GROUP |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033352117 | Victor De Leon | Military Health Care Provider | 45 Pine St, Langley Afb, VA 23665-2025 | 2009-04-20 |
| 1619181062 | Loren M Jones | Otolaryngology | 45 Pine St, Langley Afb, VA 23665-2025 | 2007-05-09 |
| 1144368069 | Claudia Lynn Sands | Podiatrist | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2007-02-02 |
| 1487790002 | Jo Anne Merrell | Social Worker | 45 Pine St, Langley Afb, VA 23665-2025 | 2007-01-30 |
| 1548324619 | Pamela Mary Loveland | Emergency Medicine | 45 Pine St, 1 Medops Sq, Langley Afb, VA 23665-2025 | 2006-12-21 |
| 1164488599 | David Duane Smith | Neuromusculoskeletal Medicine, Sports Medicine | 45 Pine St, Langley Afb, VA 23665-2025 | 2006-04-25 |
| 1043284300 | Blaine A Tuft | Pediatrics | 45 Pine St, 1st Med Group/sghc, Langley Afb, VA 23665-2025 | 2006-02-14 |
| 1760452155 | Gary Leigh Cohen | Pathology | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2006-01-26 |
| 1114904539 | Matthew Gregory Niemi | Radiology | 45 Pine St, Langley Afb, VA 23665-2025 | 2005-12-28 |
| 1457338063 | Gregory Anderson | Psychologist | 45 Pine St, Langley Afb, VA 23665-2025 | 2005-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731504 | Yingkai Tong | Pharmacist | 1288 Middleton Ct, Vienna, VA 22182-1489 | 2019-10-14 |
| 1033600135 | Benjamin Van Tassell | Pharmacist | 410 North 12th Street, Room 660a, Vcu School of Pharmacy, Box 980533, Richmond, VA 23298-0533 | 2018-05-23 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1861850380 | John Gardner | Pharmacist | 3735 Franklin Rd Sw, Roanoke, VA 24014-2260 | 2016-01-29 |
| 1447632237 | Edith Murray | Pharmacist | 270 W Bute St, Apt. 1401, Norfolk, VA 23510-1438 | 2015-06-29 |
| 1649683343 | Thomas Tekalign | Pharmacist | 9510 Daniel French St, Lorton, VA 22079-2328 | 2014-06-10 |
| 1982016390 | Tonya Coles Davis | Pharmacist | 7708 Balla Ct, Henrico, VA 23228-6345 | 2014-05-20 |
| 1457607368 | Michael Edward Kieffer | Pharmacist | 718 Day Ln, Alexandria, VA 22314-6247 | 2012-07-29 |
| 1518238443 | Eugene Irwin Erb | Pharmacist | 1159 Grand Oaks Dr, Forest, VA 24551-4650 | 2012-01-24 |
| 1730471244 | Scotty R Matney | Pharmacist | 11223 Indian Creek Rd, Pound, VA 24279 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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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.