MR. MARTIN G PELAS (NPI# 1053388496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053388496 |
| Entity Type | Individual |
| Full Name | MR. MARTIN G PELAS |
| Credential | PHARMACIST |
| Practice Address |
400 W Spruce Street Tom Olcese Pharmacy Shamokin PA 17872-5716 |
| Mailing Address |
625 Crestwood Drive Bloomsburg PA 17815 |
| Practice Telephone | 5706487891 |
| Practice Fax Number | 5706482007 |
| Mailing Telephone | 5707847695 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP023328L | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015542460003 | 05 | |
| PA | 0015542460002 | 05 |
| Street Address |
400 W SPRUCE STREET TOM OLCESE PHARMACY |
| City | SHAMOKIN |
| State | PA |
| Zip Code | 17872-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841718491 | Angela Larue Schweitzer | Nurse Practitioner | 255 W. Spruce St, Shamokin, PA 17872 | 2017-09-05 |
| 1982989851 | Catherine Seedor | Licensed Practical Nurse | 169 North Grant Street, Shamokin, PA 17872 | 2011-10-11 |
| 1477799468 | Victor John Mihal | Chiropractor | 500 North Shamokin St., Shamokin, PA 17872 | 2008-12-23 |
| 1790842482 | Ernest Lamar Steinhart IIi | Dentist | 6 North Market Street, Shamokin, PA 17872 | 2007-01-02 |
| 1386707404 | James R Bull | Dentist | 518 N Shamokin St, Shamokin, PA 17872 | 2006-12-19 |
| 1467521948 | Robert N Hewlett Jr. | Pharmacist | 605 North Shamokin St, Medicine Shoppe Pharmacy, Shamokin, PA 17872 | 2006-11-07 |
| 1891894796 | Pooja Anju Agnish | Dentist | 550 West Walnut St, Shamokin, PA 17872 | 2006-09-21 |
| 1013950278 | Shamokin Area School District | Local Education Agency (LEA) | 7th & Arch Streets, Shamokin, PA 17872 | 2006-06-14 |
| 1184601312 | Tablett Inc | Pharmacy | 605 N Shamokin St, Shamokin, PA 17872 | 2005-12-29 |
| 1689745895 | Karen A. Kaskie | Nurse Practitioner | 531 N Franklin St, Shamokin, PA 17872 | 2006-11-10 |
| Find all providers in zip 17872 | ||||
| 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 |
|---|---|---|---|---|
| 1730456112 | Darrell William Dudeck | Pharmacist | 22 N 8th St, Shamokin, PA 17872-5607 | 2011-11-29 |
| 1356630545 | Duane Russel Yentsch | Pharmacist | 26 W Independence St, Shamokin, PA 17872-5314 | 2011-03-29 |
| 1467521948 | Robert N Hewlett Jr. | Pharmacist | 605 North Shamokin St, Medicine Shoppe Pharmacy, Shamokin, PA 17872 | 2006-11-07 |
| 1083691786 | Janice E Olcese | Pharmacist | 400 W Spruce St, Shamokin, PA 17872-5716 | 2005-12-23 |
| 1558830554 | Melissa Ann Menapace | Pharmacist | 339 W Walnut St, Shamokin, PA 17872-5225 | 2018-11-19 |
| 1598110744 | Sharon Abraczinskas | Pharmacist | 605 N Shamokin St, Shamokin, PA 17872-6719 | 2016-04-25 |
| 1699066233 | Mark J Kemper | Pharmacist | 26 W Independence St, Shamokin, PA 17872-5314 | 2011-05-01 |
| 1235106071 | Kirk B Erdman | Pharmacist | 400 W Spruce St, Shamokin, PA 17872-5716 | 2006-03-01 |
| 1386622678 | Thomas A Bradley | Pharmacist | 605 N Shamokin St, Shamokin, PA 17872 | 2006-01-06 |
| 1538146444 | Janice E Olcese | Pharmacist | 400 W Spruce St, Tom Olcese Pharmacy, Shamokin, PA 17872-5716 | 2005-12-30 |
| Find all providers in SHAMOKIN | ||||
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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.