THE ESTAUGH (NPI# 1740226836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740226836 |
| Entity Type | Organization |
| Organization Name | THE ESTAUGH |
| Other Organization Name | MEDFORD LEAS PHARMACY |
| Practice Address |
1 Medford Leas Medford NJ 08055-2254 |
| Practice Telephone | 6096543269 |
| Practice Fax Number | 6092570827 |
| Mailing Telephone | 6096543269 |
| Mailing Fax Number | 6092570827 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | FRANK SIMMONS (PHCY DIR) |
| Authorized Official Telephone | 6096543391 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00192000 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2056046 | 01 | |
| NJ | 4303504 | 05 |
| Other Name | Type Code |
|---|---|
| MEDFORD LEAS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740279652 | The Estaugh | Assisted Living Facility | 1 Medford Leas, Medford, NJ 08055-2254 | 2005-10-14 |
| Street Address |
1 MEDFORD LEAS |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353088 | James Charles Damico | Internal Medicine | 1 Medford Leas, Medford, NJ 08055-2254 | 2005-08-12 |
| 1699387076 | Alyssa Galletta | Speech-Language Pathologist | 1 Medford Leas, Medford, NJ 08055-2254 | 2020-08-18 |
| 1871860908 | Lisa A Hartman | Dietitian, Registered | 1 Medford Leas, Medford, NJ 08055-2254 | 2011-11-17 |
| 1508146861 | Ayesha J Ahmed | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2011-08-18 |
| 1629295852 | Joanne Salowe | Pharmacist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-04-19 |
| 1336364553 | Tammy Lynn Beckett | Occupational Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-04-14 |
| 1508080052 | Theresa A Widmann | Pharmacist | 1 Medford Leas, Pharmacy, Medford, NJ 08055-2254 | 2007-04-13 |
| 1649392531 | Kristen Edith Perkowski | Physical Therapist | 1 Medford Leas, Physical Therapy Dept., Medford, NJ 08055-2254 | 2007-04-04 |
| 1255457206 | Jean Marie Roland | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-03-21 |
| 1124144548 | Donna M Sherman | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083160147 | Safeway | Pharmacy | 2001 Table Rock Rd, Apt 28, Medford, OR 97501-1483 | 2016-08-29 |
| 1902168289 | Medford Family Pharmacy LLC | Pharmacy | 103 Old Marlton Pike Ste 123, Medford, NJ 08055-8772 | 2012-06-12 |
| 1205043387 | Walgreen Co | Pharmacy | 210 E Barnett Rd, Medford, OR 97501-7928 | 2007-05-17 |
| 1285717520 | New Jersey Cvs Pharmacy LLC | Pharmacy | 137 Route 70, Medford, NJ 08055-2378 | 2006-10-23 |
| 1598864944 | Cvs Pharmacy Inc | Pharmacy | 590 Fellsway, Medford, MA 02155-4925 | 2006-09-22 |
| 1124127576 | Cvs Pharmacy Inc | Pharmacy | 55 Riverside Ave, Medford, MA 02155-4605 | 2006-09-22 |
| 1780781625 | Medford Pharmacy Group LLC | Pharmacy | 2355 W Main St, Medford, OR 97501 | 2006-09-20 |
| 1669576427 | Cvs Albany LLC | Pharmacy | 1565 Route 112, Medford, NY 11763-3647 | 2006-09-12 |
| 1548375322 | Medford Shoprite, Inc. | Pharmacy | 208 Route 70, Medford, NJ 08055-9522 | 2006-08-20 |
| 1518998079 | Walgreen Co | Pharmacy | 49 Station Lndg, Medford, MA 02155-5192 | 2006-07-05 |
| Find all providers in MEDFORD | ||||
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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.