ERNEST PAUL ROALES


Address: 208 N Main St, Bridgeport, IL 62417-1522
Phone: 6189453701

ERNEST PAUL ROALES (NPI# 1053810390) 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) 1053810390
Entity Type Individual
Full Name ERNEST PAUL ROALES
Practice Address 208 N Main St
Bridgeport
IL 62417-1522
Mailing Address Po Box 75
Bridgeport
IL 62417-0075
Practice Telephone 6189453701
Practice Fax Number 6189459382
Mailing Telephone 6169453701
Mailing Fax Number 6189459382
Enumeration Date 2018-02-01
Last Update Date 2018-02-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051032960 IL Pharmacy Service Providers

Office Location

Street Address 208 N MAIN ST
City BRIDGEPORT
State IL
Zip Code 62417-1522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346243672 Ernest & Susan L Roales Pharmacy 208 N Main St, Bridgeport, IL 62417-1522 2005-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740375229 Red Hill Cu School Dist 10 Local Education Agency (LEA) 1250 Judy Ave, Bridgeport, IL 62417 2006-10-03
1922514082 Tricia Rae Inyart Speech-Language Pathologist 1300 N Main St, Bridgeport, IL 62417-1300 2017-12-26
1871677005 Albert W Lewis Ambulance 1305 Ash St, Bridgeport, IL 62417-1707 2006-10-24
1144643354 Aperion Care Bridgeport LLC Durable Medical Equipment & Medical Supplies 900 Corporation St, Bridgeport, IL 62417-2206 2014-01-23
1184613515 Lawrence Community Healthcare Center Inc Skilled Nursing Facility 900 Corporation Line St, Bridgeport, IL 62417-2206 2005-10-18
1760033492 Aperion Care Bridgeport LLC Durable Medical Equipment & Medical Supplies 900 Corporation St, Bridgeport, IL 62417-2206 2019-09-24
1366694317 Lawrence Community Healthcare Center Durable Medical Equipment & Medical Supplies 900 Corporation Line St, Bridgeport, IL 62417-2206 2008-10-21
1801048855 Lawrence Community Healthcare Private Vehicle 900 Corporation Line St, Bridgeport, IL 62417-2206 2008-10-21
1760973424 Amelia L Pauley Registered Nurse 101 Industry Rd, Bridgeport, IL 62417-2442 2018-05-29
1124673256 Gretchen Ginder Family Medicine 101 Industry Rd, Bridgeport, IL 62417-2442 2019-08-06
Find all providers in zip 62417

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073162780 Lauren Mccarthy Pharmacist 63 Overlook Dr, Bridgeport, WV 26330-1021 2019-09-05
1780163246 Jill K Bebey Pharmacist 564 A Park Ave, Bridgeport, CT 06604 2018-08-07
1407391485 Sangeetha Ravindran Pharmacist 978 East Main Street, Bridgeport, CT 06608-4640 2016-12-29
1659734150 Jignesh Patel Pharmacist 2610 E Main St, Briarwoods Shopping Center, Bridgeport, CT 06610-1422 2016-04-01
1811363971 Victoria Martinez Pharmacist 25 Duane Pl, Bridgeport, CT 06610-1125 2015-08-12
1760875660 Laura Lowther Pharmacist 300 West Main St., Bridgeport, WV 26330-1178 2015-03-17
1912312232 Paige Cloud Pharmacist 50452 Al Hwy 277, Bridgeport, AL 35740 2014-06-25
1528486677 Tonya Jimmie Pharmacist 284 Forest Dr, Bridgeport, WV 26330-9535 2014-04-04
1861741654 Ryan A Bane Pharmacist 56130 National Rd, Bridgeport, OH 43912-1529 2012-09-07
1841580909 Lee Faust Pharmacist 6155 Dixie Hwy, Bridgeport, MI 48722-9618 2011-04-11
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 62417

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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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