DR. SAMANTHA JO FASO (NPI# 1073163770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073163770 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA JO FASO |
| Credential | PHARMD |
| Practice Address |
286 Creighton Ln Rochester NY 14612-2225 |
| Practice Telephone | 5859780900 |
| Mailing Telephone | 5859780900 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 065821 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS PHARMACIST LICENSE | 065821 | 01 |
| Street Address |
286 CREIGHTON LN |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14612-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386294122 | Marlene Lebeau | Technician | 39 Wood Run Commons, Rochester, NY 14612 | 2019-09-13 |
| 1316445349 | Hudson Family Chiropractic, Pllc | Chiropractor | 470 Long Pond Rd Ste 270f, Rochester, NY 14612 | 2018-01-24 |
| 1043759822 | Jessica Ekiert | Licensed Practical Nurse | 143 Country Place Ln, Rochester, NY 14612 | 2017-02-14 |
| 1790179471 | Elizabeth Inclima | Specialist | 27 Hale Circle, Rochester, NY 14612 | 2015-03-20 |
| 1528471869 | Brenda Marie Roberts | Licensed Practical Nurse | 3457 Latta Rd, Greece, NY 14612 | 2014-06-04 |
| 1811272602 | Alexandra Reidmiller | Registered Nurse | 800 Long Pond Road, Rochester, NY 14612 | 2011-10-12 |
| 1528372224 | Nicole France | Pharmacist | 665 Long Pond Rd., Rochester, NY 14612 | 2010-08-05 |
| 1407094303 | Esther Mae Platek | Licensed Practical Nurse | 4702-1 Dewey Ave, Rochester, NY 14612 | 2009-01-30 |
| 1871730614 | Edwidge May Clarke | Registered Nurse | 276 Pebbleview Drive, Rochester, NY 14612 | 2009-01-15 |
| 1073772000 | La Vonia Marie Norman - Greeen | Licensed Practical Nurse | 902 Pond View Hts, Rochester, NY 14612 | 2008-06-05 |
| Find all providers in zip 14612 | ||||
| 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 |
|---|---|---|---|---|
| 1003449257 | Maurice D Bailey | Pharmacist | 75 Mona St, Rochester, NY 14609-3919 | 2020-02-17 |
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1255813028 | Cassandra Nicolia | Pharmacist | 898 Guinevere Dr, Rochester, NY 14626-4344 | 2018-08-29 |
| 1023596210 | Hayden Brayer | Pharmacist | 1431 Mount Hope Ave, Rochester, NY 14620-3912 | 2018-07-31 |
| 1295211654 | John Maher | Pharmacist | Mayo Clinic Pharmacy 200 First Street Sw, Rochester, MN 55905-0001 | 2018-07-18 |
| 1497250732 | Dylan Michael Barth | Pharmacist | 1301 1st St Sw Apt B2, Rochester, MN 55902-0337 | 2018-03-28 |
| 1235646498 | Nesreen Mughrabi-jenad | Pharmacist | 4221 W Circle Dr Nw, Rochester, MN 55901-8788 | 2018-01-09 |
| 1477081180 | Thu Hoang | Pharmacist | 1027 7th St Nw Ste 204, Rochester, MN 55901-2666 | 2017-05-24 |
| 1205373248 | Alexandra Schmitt | Pharmacist | 139 Dove Tree Ln, Rochester, NY 14626-4722 | 2017-01-29 |
| 1801345400 | Albert Keith Lapid | Pharmacist | 984 River Mist Dr, Rochester, MI 48307-2261 | 2016-09-25 |
| Find all providers in ROCHESTER | ||||
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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.