MR. ROBERT HENRY STACKPOLE JR. (NPI# 1932377421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932377421 |
| Entity Type | Individual |
| Full Name | MR. ROBERT HENRY STACKPOLE JR. |
| Credential | RPH |
| Practice Address |
530 Route 515 Unit 1 Vernon NJ 07462-3215 |
| Mailing Address |
17 Hemlock Dr Sussex NJ 07461-4420 |
| Practice Telephone | 9737645380 |
| Practice Fax Number | 9737645996 |
| Mailing Telephone | 9738751945 |
| Mailing Fax Number | 9738751945 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI01772600 | NJ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RPH STATE LICENSE NUMBER | 28RI01772600 | 01 |
| Street Address |
530 ROUTE 515 UNIT 1 |
| City | VERNON |
| State | NJ |
| Zip Code | 07462-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811354186 | Pamela Callow | Pharmacist | 530 Route 515, Vernon, NJ 07462-3215 | 2016-01-18 |
| 1346607629 | Jessica Wong | Pharmacist | 530 Route 515, Vernon, NJ 07462-3215 | 2016-01-18 |
| 1134398522 | Brian Paul Normoyle | Pharmacist | 530 Route 515, Vernon, NJ 07462-3215 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699786 | Deividas Jeskevicius | Occupational Therapist | 212 Nj-94 Unit 2g & 2h, Vernon, NJ 07462 | 2019-09-26 |
| 1053788224 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 530 County Route 515, Unit 1, Vernon, NJ 07462 | 2015-08-24 |
| 1851788350 | Alpha & Omega Dental of Nj, LLP | Dentist | 6 Church St., Vernon, NJ 07462 | 2015-04-22 |
| 1871924050 | Eugene Santos | Specialist/Technologist | 42 Birch Drive, Vernon, NJ 07462 | 2013-12-12 |
| 1336498765 | Asha Reddy Thadisina | Pharmacist | 525 County Road 515, Vernon, NJ 07462 | 2012-08-30 |
| 1013236512 | Valerie Lee Thayer | Pharmacist | 525 State Route 515, Vernon, NJ 07462 | 2010-05-24 |
| 1003048844 | Joshua Seungju Chung | Dentist | 6 Church Street, Vernon, NJ 07462 | 2009-08-12 |
| 1861676454 | Lois Ann Reinhardt | Counselor | 529 Route 515 /guthrie Corner, Suite 202, Vernon, NJ 07462 | 2007-12-19 |
| 1598971442 | Laura Ann Covucci | Dentist | 248 Route 94 North, Vernon, NJ 07462 | 2007-05-15 |
| 1326163288 | Donald John Mattucci Jr. | Dentist | 249 Route 94, Vernon, NJ 07462 | 2007-03-20 |
| Find all providers in zip 07462 | ||||
| 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 |
|---|---|---|---|---|
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1508267261 | Mohamed Mohamed | Pharmacist | 242 Talcottville Rd, Vernon, CT 06066-4631 | 2014-09-11 |
| 1285048710 | Udayan Patel | Pharmacist | 525 Route 515, Vernon, NJ 07462-0041 | 2014-06-12 |
| 1538405303 | Mobolaji Adio | Pharmacist | 142 Vernon Ave, Vernon, CT 06066-3648 | 2012-12-21 |
| 1336498765 | Asha Reddy Thadisina | Pharmacist | 525 County Road 515, Vernon, NJ 07462 | 2012-08-30 |
| 1467718114 | Diana Backlund | Pharmacist | 17 Willow Stream Dr, Vernon, CT 06066-5935 | 2012-04-06 |
| 1912297508 | Jesal Patel | Pharmacist | 530 Route 515 Unit 1, Vernon, NJ 07462-3216 | 2011-04-15 |
| 1013236512 | Valerie Lee Thayer | Pharmacist | 525 State Route 515, Vernon, NJ 07462 | 2010-05-24 |
| 1477878056 | Teresa Herren Mobley | Pharmacist | 9574 Highway 18, Vernon, AL 35592-5246 | 2010-04-07 |
| 1528396405 | Adam Bayer | Pharmacist | 1015 Hillcrest Dr Ste B, Vernon, TX 76384-3194 | 2009-12-03 |
| Find all providers in VERNON | ||||
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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.