JEFFRREY CHURCH (NPI# 1992145122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992145122 |
| Entity Type | Individual |
| Full Name | JEFFRREY CHURCH |
| Practice Address |
34 Wedgewood Dr Farmingdale ME 04344-2969 |
| Mailing Address |
34 Wedgewood Drive Farmingdale ME 04344 |
| Practice Telephone | 2076227310 |
| Mailing Telephone | 2076227310 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR4081 | ME | Pharmacy Service Providers |
| Street Address |
34 WEDGEWOOD DR |
| City | FARMINGDALE |
| State | ME |
| Zip Code | 04344-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881637114 | Michele G Stevens | Physical Therapist | 14 2nd St, Farmingdale, ME 04344 | 2006-06-14 |
| 1588172811 | Maura Stottler | Specialist/Technologist | 687 Maine Ave, Farmingdale, ME 04344-1526 | 2018-01-22 |
| 1043287485 | Davis Long Term Care Group Inc | Assisted Living Facility | 647 Maine Ave, Farmingdale, ME 04344-1526 | 2006-03-03 |
| 1346605896 | Dltc Healthcare LLC | Assisted Living Facility | 647 Maine Ave, Farmingdale, ME 04344-1526 | 2015-12-29 |
| 1780885806 | Davis Long Term Care Group Inc | Assisted Living Facility | 647 Maine Ave, Farmingdale, ME 04344-1526 | 2007-05-29 |
| 1861859662 | Jennifer Leigh Hall | Social Worker | 227 Park St, Farmingdale, ME 04344-1527 | 2016-01-25 |
| 1629090519 | Ida M. Gammon-wilson | Massage Therapist | 690 Maine Ave, Farmingdale, ME 04344-1539 | 2006-07-23 |
| 1578893905 | Diane Smith | Developmental Therapist | 15 Beech St, Farmingdale, ME 04344-1603 | 2010-01-07 |
| 1295395846 | Courtney Ross | Occupational Therapist | 15 Hasson St # 1613, Farmingdale, ME 04344-1613 | 2019-06-17 |
| 1760514954 | Lisa M Mazzola | Occupational Therapist | 15 Hasson St, Farmingdale, ME 04344-1613 | 2007-03-12 |
| Find all providers in zip 04344 | ||||
| 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 |
|---|---|---|---|---|
| 1437525649 | Joseph Valveri | Pharmacist | 51 Balcom Rd, Farmingdale, NY 11735-2303 | 2015-08-12 |
| 1710263462 | Well Care Pharmacy of Longisland Corp. | Pharmacist | 1037 Fulton St, Farmingdale, NY 11735-4700 | 2011-10-26 |
| 1487954020 | Robert Thomas Corry | Pharmacist | 11 Executive Blvd, Farmingdale, NY 11735 | 2010-10-29 |
| 1073833307 | Kenneth Kalada | Pharmacist | 1306 Rte 33, Unit 4, Farmingdale, NJ 07727-4033 | 2010-06-09 |
| 1568787810 | Karen A Kahn | Pharmacist | 931 Conklin St Ste D, Farmingdale, NY 11735-2429 | 2010-03-30 |
| 1548584915 | Kevin Ferry | Pharmacist | 111 Rte 110, Farmingdale, NY 11735-4820 | 2010-03-15 |
| 1497078596 | Gurdine Soma | Pharmacist | 11 Ethan Dr, Farmingdale, NJ 07727-3776 | 2010-03-04 |
| 1679895254 | Michael Vincent Chan | Pharmacist | 931d Conklin Street, Farmingdale, NY 11735-2429 | 2010-02-23 |
| 1699007971 | Richard Gawrysiak | Pharmacist | 1111 Rte 110, Farmingdale, NY 11735-4820 | 2010-02-11 |
| 1801067921 | Ellen Scharaga | Pharmacist | 931 D Conklin Strret, Farmingdale, NY 11735 | 2008-03-17 |
| Find all providers in FARMINGDALE | ||||
| City | FARMINGDALE |
| Zip Code | 04344 |
Please comment or provide details below to improve the information on JEFFRREY CHURCH.
| 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.