JENNIFER A MCTISH (NPI# 1841460045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841460045 |
| Entity Type | Individual |
| Full Name | JENNIFER A MCTISH |
| Credential | PHARM D |
| Practice Address |
1169 S Main St Mansfield PA 16933-9537 |
| Mailing Address |
2498 Arnot Rd Wellsboro PA 16901-8540 |
| Practice Telephone | 5706621120 |
| Practice Fax Number | 5706621122 |
| Mailing Telephone | 5707238512 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP437473 | PA | Pharmacy Service Providers |
| Street Address |
1169 S MAIN ST |
| City | MANSFIELD |
| State | PA |
| Zip Code | 16933-9537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772552 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1169 S Main St, Mansfield, PA 16933-9537 | 2006-07-16 |
| 1194048405 | Stacy D Dean | Pharmacist | 1169 S Main St, Mansfield, PA 16933-9537 | 2010-03-02 |
| 1720257256 | Nathan Hellmut Bozzo | Pharmacist | 1169 S Main St, Mansfield, PA 16933-9537 | 2008-02-28 |
| 1366611873 | Maureen Marie Callahan | Pharmacist | 1169 S Main St, Mansfield, PA 16933-9537 | 2008-02-28 |
| 1053492595 | Wal-mart Stores East, Lp | Technician/Technologist | 1169 S Main St, Mansfield, PA 16933-9537 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1144451121 | Wellspring Community Support Services, Inc. | Clinic/Center | 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 | 2009-08-07 |
| 1417193707 | Roger Mark Stager | Dentist | 17 N Main St., Mansfield, PA 16933 | 2008-12-17 |
| 1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1518161520 | Elite Therapy PC | Physical Therapist | 285 South Main St., Mansfield, PA 16933 | 2007-06-13 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| 1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
| 1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
| 1497895783 | Christopher David Jones | Physical Therapist | 285 S Main St, Mansfield, PA 16933 | 2007-02-07 |
| Find all providers in zip 16933 | ||||
| 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 |
|---|---|---|---|---|
| 1063013951 | Travis Tuan Tran | Pharmacist | 1826 Lake Glen Trl, Mansfield, TX 76063-4090 | 2020-11-05 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1275170649 | Thi Thi Hoang Diep | Pharmacist | 503 Marquis Ln, Mansfield, TX 76063-9123 | 2019-12-04 |
| 1598317422 | Allisa Laford I | Pharmacist | 140 N Frontage Road, Within United Services Inc. Room 171, Mansfield, CT 06250-0625 | 2019-07-11 |
| 1629531421 | Sara Rebecca Pannell | Pharmacist | 3145 East Broad Street, Mansfield, TX 76063 | 2019-04-09 |
| 1477015691 | Kelsey Brianne Hickman | Pharmacist | 770 Balgreen Dr Ste 104, Mansfield, OH 44906-4106 | 2019-04-05 |
| 1811352784 | Lisa Marie Rivera | Pharmacist | 1600 Mallard Cir, Mansfield, TX 76063-4082 | 2015-12-20 |
| 1871964304 | Lilian Nyanganyi Momanyi | Pharmacist | 4303 Crestview Ln, Mansfield, TX 76063-8623 | 2015-10-09 |
| 1588031223 | Hieu-nam Nguyen | Pharmacist | 901 E Broad St, Mansfield, TX 76063 | 2015-08-28 |
| 1356718118 | Travis Rahe | Pharmacist | 865 Lexington Ave, Mansfield, OH 44907-1945 | 2015-08-27 |
| Find all providers in MANSFIELD | ||||
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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.