ALEXANDER SHATALOV (NPI# 1023638178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023638178 |
Entity Type | Individual |
Full Name | ALEXANDER SHATALOV |
Credential | PHARMD |
Practice Address |
625 S Van Buren Rd Eden NC 27288-5319 |
Mailing Address |
150 Peters Creek Pkwy Apt 326 Winston Salem NC 27101-3687 |
Practice Telephone | 3366274893 |
Mailing Telephone | 8034294347 |
Enumeration Date | 2020-04-19 |
Last Update Date | 2020-04-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 29102 | NC | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | NORTH CAROLINA BOARD OF PHARMACY | 29102 | 01 |
Street Address |
625 S VAN BUREN RD |
City | EDEN |
State | NC |
Zip Code | 27288-5319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548363211 | North Carolina Cvs Pharmacy LLC | Pharmacy | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2006-09-07 |
1699318113 | Chelsea Victoria Shields Burns | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2019-10-28 |
1841831922 | Aquisi Akinola | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2019-09-30 |
1427531037 | Tyler Robert Poznic | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2018-09-10 |
1659652055 | Nicola Sozio | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2011-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
Find all providers in zip 27288 |
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 |
---|---|---|---|---|
1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
1689818965 | Miles Scott Vonlogan | Pharmacist | 109 S Van Buren Rd, Eden, NC 27288-5026 | 2009-04-30 |
1710167465 | Donna Techmanski | Pharmacist | 8079 N Main St, Eden, NY 14057-1118 | 2007-11-10 |
1871705681 | Danny Ray Dalton | Pharmacist | 509 S Van Buren Road, Eden, NC 27288-5018 | 2007-05-04 |
1396862801 | Kermit Kim Cowley | Pharmacist | 2555 N. Wolf Creek Drive, Eden, UT 84310 | 2007-03-22 |
1184711020 | Mitchell's Discount Drugs, Inc | Pharmacist | 641 Washington St, Eden, NC 27288-6137 | 2006-10-10 |
1437170628 | Mitchell's Discount Drugs, Inc | Pharmacist | 544 Morgan Rd, Eden, NC 27288-2524 | 2006-07-22 |
1346884186 | Matthew Steven Sanchez | Pharmacist | 544 Morgan Rd, Eden, NC 27288-2524 | 2019-11-05 |
1699318113 | Chelsea Victoria Shields Burns | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2019-10-28 |
1841831922 | Aquisi Akinola | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2019-09-30 |
Find all providers in EDEN |
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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.