CLCRESSLER INC (NPI# 1730453291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730453291 |
| Entity Type | Organization |
| Organization Name | CLCRESSLER INC |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
6950 Germantown Ave Suite 326 Contennial Wing, Germantown Home Philadelphia PA 19119-2120 |
| Mailing Address |
4999 Louise Dr Suite 204 Mechanicsburg PA 17055-6907 |
| Practice Telephone | 7177666191 |
| Practice Fax Number | 7176911052 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | MS. HELEN CLARK (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7177666191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018224450019 | 05 |
| Other Name | Type Code |
|---|---|
| Medicine Shoppe | Doing Business As Name - Organization |
| Street Address |
6950 GERMANTOWN AVE SUITE 326 CONTENNIAL WING, GERMANTOWN HOME |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457340317 | Emmanuel C Okolo | Internal Medicine | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2005-10-13 |
| 1366911729 | Melissa Giordano | Pharmacist | 6950 Germantown Ave, Philadelphia, PA 19119-2114 | 2018-11-15 |
| 1861986374 | Alyssa Thiede | Physical Therapist | 6950 Germantown Ave, Philadelphia, PA 19119-2114 | 2018-06-18 |
| 1871085886 | Brittany Anne Sampson | Occupational Therapist | 6950 Germantown Ave, Philadelphia, PA 19119-2114 | 2018-06-05 |
| 1922455682 | Sarah Goldberg-o'neil | Occupational Therapist | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2016-05-23 |
| 1275901787 | Alicia Pearson | Speech-Language Pathologist | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2015-09-14 |
| 1811375884 | Newcourtland Primary Care | Clinic/Center | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2015-05-11 |
| 1689067571 | Chinyeaka U Nwoko | Nurse Practitioner | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2015-03-17 |
| 1538406475 | M.m. Fallouh M.d. LLC | Internal Medicine | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2013-01-11 |
| 1467708149 | Keesha L Mimms | Physical Therapist | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1083659734 | Neshoba County General Hospital | Pharmacy | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2006-06-18 |
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| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
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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.