DR. ROSINA D VANDEWALL (NPI# 1740505205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740505205 |
| Entity Type | Individual |
| Full Name | DR. ROSINA D VANDEWALL |
| Credential | PHARMD |
| Practice Address |
830 Washington St Watertown NY 13601-4034 |
| Mailing Address |
16370 Deer Run Rd Watertown NY 13601-5366 |
| Practice Telephone | 3157854063 |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2012-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
33105 | NY | Pharmacy Service Providers |
| Street Address |
830 WASHINGTON ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597724 | Doris Elaine Grimes | Specialist | 830 Washington St, Watertown, NY 13601-4034 | 2005-06-09 |
| 1386245033 | Sheryl Lynn Abbott | Physician Assistant | 830 Washington St, Watertown, NY 13601-4099 | 2020-11-07 |
| 1730718958 | Shanmukha Swetha Perabattula | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2020-04-08 |
| 1427687771 | Farah Wani | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2020-04-07 |
| 1396383170 | Kaitlin Effie Clark | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-12 |
| 1730727546 | Brittany Rose Lothrop | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-12 |
| 1598303430 | Jeremy Tarwater | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-11 |
| 1609425081 | Heather D Seldat | Nurse Practitioner | 830 Washington St, Watertown, NY 13601-4034 | 2019-09-09 |
| 1649835679 | Timothy Schwarz | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2019-05-06 |
| 1609338201 | Danielle Kealy | Speech-Language Pathologist | 830 Washington St, Watertown, NY 13601-4034 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1790383479 | Heather Opdahl | Pharmacist | Hy-vee Pharmacy, 1320 9th Ave Se, Watertown, SD 57201 | 2020-10-14 |
| 1790265098 | Stefanos Daniel Torkos | Pharmacist | 485 Arsenal St, Watertown, MA 02472 | 2018-08-16 |
| 1992085328 | Samrah Naseem | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2011-08-17 |
| 1528374816 | Annie Ly Vong | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2010-08-24 |
| 1255663530 | Stephanie Anne Ross | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2010-02-11 |
| 1922264308 | Marianne Y Lee | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241794 | Erika Modh | Pharmacist | 6220 11th Ave, Brooklyn, NY 11219-5204 | 2020-09-29 |
| 1457990657 | Hina Khawaja | Pharmacist | 24 E 24th St, Huntington Station, NY 11746-3702 | 2020-01-06 |
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1306498100 | Cerris Chung | Pharmacist | 320 E 94th St # 3f, New York, NY 10128-5604 | 2019-07-11 |
| 1558922419 | Jennifer Sophia Orozco | Pharmacist | 1275 York Ave # 710, New York, NY 10065-6007 | 2019-06-21 |
| 1558846014 | Lisa Chu | Pharmacist | 14634 23rd Ave, Whitestone, NY 11357-3514 | 2018-10-01 |
| 1841772514 | Salvatore Oreste | Pharmacist | 32 Alder Dr, Kings Park, NY 11754-2202 | 2018-08-30 |
| 1184138885 | B&t Port Richmond Pharmacy Inc. | Pharmacist | 251 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-11-17 |
| 1922510072 | Robert O'connell | Pharmacist | 3840 211th St Fl 2, Bayside, NY 11361-1956 | 2017-10-30 |
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
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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.