MR. GENE A MEMOLI JR.


Address: 1717 N Peters Ln, Stratford, CT 06614-8921
Phone: 2033782987

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
6969 CT Pharmacy Service Providers

Office Location

Street Address 1717 N PETERS LN
City STRATFORD
State CT
Zip Code 06614-8921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053514505 Peggy M Memoli Pharmacist 1717 N Peters Ln, Stratford, CT 06614-8921 2007-06-11

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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
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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
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Find all providers in zip 06614

Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City STRATFORD
Zip Code 06614

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Dataset Information

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.

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