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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 051032960 | IL | Pharmacy Service Providers |
Street Address |
208 N MAIN ST |
City | BRIDGEPORT |
State | IL |
Zip Code | 62417-1522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346243672 | Ernest & Susan L Roales | Pharmacy | 208 N Main St, Bridgeport, IL 62417-1522 | 2005-05-31 |
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 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 |
---|---|---|---|---|
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 |
City | BRIDGEPORT |
Zip Code | 62417 |
Please comment or provide details below to improve the information on ERNEST PAUL ROALES.
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.