ROBERT JAMES WILTSE (NPI# 1053798314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053798314 |
| Entity Type | Individual |
| Full Name | ROBERT JAMES WILTSE |
| Practice Address |
2144 Grand Central Ave Horseheads NY 14845-8260 |
| Practice Telephone | 6077390301 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 057642 | NY | Pharmacy Service Providers |
| Street Address |
2144 GRAND CENTRAL AVE |
| City | HORSEHEADS |
| State | NY |
| Zip Code | 14845-8260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033435 | Tyler Whitney Humphries | Pharmacist | 2144 Grand Central Ave, Horseheads, NY 14845-8260 | 2011-07-25 |
| 1386160240 | Michael Dineen | Pharmacist | 2144 Grand Central Ave, Horseheads, NY 14845-8260 | 2017-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883919 | Sarika Pandharinath Ballari | Student in an Organized Health Care Education/Training Program | 342 Wexford Lane, Horseheads, NY 14845 | 2019-04-17 |
| 1679091227 | J Pain & Spine Care | Neurological Surgery | 217 Old Ithaca Rd, Horseheads, NY 14845 | 2017-09-05 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1154877702 | Barnes Chiropractic, Pllc | Chiropractor | 301 W. Broad St., Horseheads, NY 14845 | 2016-09-01 |
| 1871048538 | Jeanette Marie Walrath | Nurse Practitioner | 3344 Chambers Road, Suite 200, Horseheads, NY 14845 | 2016-08-23 |
| 1861820565 | Susan Elaine Sager | Registered Nurse | 950 Sing Sing Road, Horseheads Middle School, Horseheads, NY 14845 | 2013-10-16 |
| 1083963599 | Rachael Kristen Burke | Licensed Practical Nurse | 722 Taylor Rd, Horseheads, NY 14845 | 2012-08-30 |
| 1386910990 | Angela Christina Bahlatzis | Physician Assistant | 309 Scenic View, Horseheads, NY 14845 | 2012-03-28 |
| 1316214398 | Carol Callahan | Licensed Practical Nurse | 401 Fletcher St., Horseheads, NY 14845 | 2011-11-19 |
| 1194020255 | Jean M Sheahan | Occupational Therapist | One Raider Lane, Horseheads, NY 14845 | 2011-01-21 |
| Find all providers in zip 14845 | ||||
| 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 |
|---|---|---|---|---|
| 1497033435 | Tyler Whitney Humphries | Pharmacist | 2144 Grand Central Ave, Horseheads, NY 14845-8260 | 2011-07-25 |
| 1841513686 | Shahid Ejaz | Pharmacist | 177 Oriole Dr, Horseheads, NY 14845-1619 | 2010-03-08 |
| 1952568206 | Kathleen Krazinski | Pharmacist | 1400 County Route 64, Horseheads, NY 14845-2297 | 2008-05-22 |
| 1366610966 | Patricia Cantando | Pharmacist | 27 Paula Dr, Horseheads, NY 14845-7275 | 2008-02-15 |
| 1942480520 | Mark William Fagnan | Pharmacist | 507 Chemung St, Horseheads, NY 14845-2711 | 2007-11-12 |
| 1891317822 | Mary Hessler Mcenerney | Pharmacist | 1400 County Rd 64, Horseheads, NY 14845 | 2020-05-13 |
| 1386160240 | Michael Dineen | Pharmacist | 2144 Grand Central Ave, Horseheads, NY 14845-8260 | 2017-08-22 |
| 1689022196 | Matthew Michael Wade | Pharmacist | 2898 Westinghouse Rd, Horseheads, NY 14845-8196 | 2016-05-25 |
| 1174990493 | Justin Bigg | Pharmacist | 2898 Westinghouse Rd, Horseheads, NY 14845-8196 | 2015-08-24 |
| 1497170229 | Kristy Makasziw | Pharmacist | 2887 Westinghouse Rd, Horseheads, NY 14845-8110 | 2014-03-04 |
| Find all providers in HORSEHEADS | ||||
| City | HORSEHEADS |
| Zip Code | 14845 |
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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.