DOMINIC DEROSE JR. (NPI# 1083698559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083698559 |
| Entity Type | Individual |
| Full Name | DOMINIC DEROSE JR. |
| Practice Address |
1080 W 300 N Clearfield UT 84015-8732 |
| Mailing Address |
1509 West Stayner Drive Farmington UT 84025 |
| Practice Telephone | 8017737330 |
| Mailing Telephone | 8014515708 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 140039-1701 | UT | Pharmacy Service Providers |
| Street Address |
1080 W 300 N |
| City | CLEARFIELD |
| State | UT |
| Zip Code | 84015-8732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819968 | Winegars Super Markets Inc | Pharmacy | 1080 W 300 N, Clearfield, UT 84015-8732 | 2005-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1619459104 | Jaime W Jones | Registered Nurse | 412 North 4950 West, West Point, UT 84015 | 2018-08-31 |
| 1295272557 | Wendy Fleming | Registered Nurse | 22 So. State Street, Davis County Health Dept, Clearfield, UT 84015 | 2017-01-25 |
| 1871041707 | Megan Claire Mannen | Optometrist | 1448 N 2000 W Ste 3, Clinton, UT 84015 | 2016-09-20 |
| 1093118291 | April Riney | Counselor | 189 S State St Ste 235b, Clearfield, UT 84015 | 2014-10-01 |
| 1457779381 | Katherine Olsen | Registered Nurse | 22 S. State St., Clearfield, UT 84015 | 2014-03-28 |
| 1336560218 | Lauren April Call | Registered Nurse | 22 S. State St, Clearfield, UT 84015 | 2013-12-19 |
| 1568803377 | John Gaspare Rino | Physical Therapist | 29 C St, Clearfield, UT 84015 | 2013-07-09 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1639441264 | Kim I Beus | Nurse Practitioner | 383 E 1900 S, Clearfield, UT 84015 | 2012-01-27 |
| Find all providers in zip 84015 | ||||
| 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 |
|---|---|---|---|---|
| 1023307394 | Robert P Farrell | Pharmacist | 8878 Clearfield Curwensville Hwy, Clearfield, PA 16830-3519 | 2011-04-07 |
| 1548391329 | Roger B Fitzpatrick | Pharmacist | 580 S State St, Clearfield, UT 84015-1733 | 2007-03-07 |
| 1548256068 | Bradley K Singer | Pharmacist | 100 Supercenter Dr, Clearfield, PA 16830-6027 | 2005-09-20 |
| 1588661201 | Susan L Grancey | Pharmacist | 304 N 3rd St, Clearfield, PA 16830-2527 | 2005-07-07 |
| 1316547631 | Tina Marie Connor | Pharmacist | 100 Supercenter Dr, Clearfield, PA 16830-6027 | 2020-10-27 |
| 1285902973 | T.c.l.f. LLC | Pharmacist | 580 S State St, Clearfield, UT 84015-1733 | 2011-12-08 |
| 1376833285 | Matthew James Richards | Pharmacist | 8878 Clearfield Curwensville Hwy, Clearfield, PA 16830-3519 | 2011-04-12 |
| 1356501118 | Christie Leigh Harmic | Pharmacist | 100 Supercenter Dr, Attn: Walmart Pharmacy, Clearfield, PA 16830-6027 | 2008-06-13 |
| 1720250830 | Kenneth John Mitchell II | Pharmacist | 100 Supercenter Dr, Clearfield, PA 16830 | 2008-03-28 |
| 1497925358 | Penny Withey | Pharmacist | 100 Supercenter Dr, Clearfield, PA 16830-6027 | 2008-03-06 |
| Find all providers in CLEARFIELD | ||||
| City | CLEARFIELD |
| Zip Code | 84015 |
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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.