MR. GENE A MEMOLI JR. (NPI# 1942402177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942402177 |
Entity Type | Individual |
Full Name | MR. GENE A MEMOLI JR. |
Credential | R.PH. |
Practice Address |
1717 N Peters Ln Stratford CT 06614-8921 |
Practice Telephone | 2033782987 |
Practice Fax Number | 2033782987 |
Mailing Telephone | 2033782987 |
Mailing Fax Number | 2033782987 |
Enumeration Date | 2007-06-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
6969 | CT | Pharmacy Service Providers |
Street Address |
1717 N PETERS LN |
City | STRATFORD |
State | CT |
Zip Code | 06614-8921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053514505 | Peggy M Memoli | Pharmacist | 1717 N Peters Ln, Stratford, CT 06614-8921 | 2007-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
Find all providers in zip 06614 |
Taxonomy Code | 1835G0303X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Geriatric |
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811344500 | Karen Pickel | Pharmacist | 35 Wilcox Ln, Portland, CT 06480-1002 | 2016-05-23 |
1962771865 | Joanna Nunzianto | Pharmacist | 80 Horse Pond Rd, Madison, CT 06443-2513 | 2011-12-21 |
1962770933 | James Kilgus | Pharmacist | 25 Robert Jackson Way, Plainville, CT 06062-2650 | 2011-12-06 |
1831211390 | Richard R Daniels Jr. | Pharmacist | 55 Falls Landing Rd, Deep River, CT 06417-1693 | 2007-04-04 |
1043385818 | Michael Moore | Pharmacist | 109 Butler Dr, Glastonbury, CT 06033-3534 | 2006-11-21 |
1114226248 | Ronald Joel Wissuchek | Pharmacist | 1291 Albany Ave, Hartford, CT 06112-2198 | 2011-03-15 |
1184946683 | Linda Bradshaw | Pharmacist | 525 Knotter Dr, Omnicare, Cheshire, CT 06410-1100 | 2010-02-24 |
1366522385 | Jennifer Forman | Pharmacist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2006-10-16 |
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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.