DR. JOSEPH BORGE (NPI# 1093295008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093295008 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH BORGE |
| Credential | PH238304 |
| Practice Address |
127 Eastern Ave # 135 Gloucester MA 01930-1802 |
| Mailing Address |
6 Edgewood Rd Gloucester MA 01930-3330 |
| Practice Telephone | 9782812720 |
| Mailing Telephone | 9782903101 |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH238304 | MA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | PHARMACY LICENSE | PH238304 | 01 |
| Street Address |
127 EASTERN AVE # 135 |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| Find all providers in zip 01930 | ||||
| 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 |
|---|---|---|---|---|
| 1154921500 | Lee Ann Cahill | Pharmacist | 7230 Wellford Ln, Gloucester, VA 23061-5110 | 2020-10-27 |
| 1215548037 | Laurie Jean Andrews-comer | Pharmacist | 80 Prospect St Unit 8, Gloucester, MA 01930-3748 | 2020-08-14 |
| 1487084372 | Debra Leigh Ottarson | Pharmacist | 6634 Jarvis Road, Gloucester, VA 23061 | 2013-11-14 |
| 1982036760 | Cindy Le | Pharmacist | 127-135 Eastern Ave, Gloucester, MA 01930 | 2013-08-05 |
| 1316206477 | Serena Dawn Burgdorf | Pharmacist | 6 Thatcher Rd, Gloucester, MA 01930-3148 | 2012-05-10 |
| 1972885416 | Michael P Brien | Pharmacist | 106 Friend St, Gloucester, MA 01930-2946 | 2011-09-11 |
| 1629377338 | William Perry Horsley Jr. | Pharmacist | 6908 Main St, Gloucester, VA 23061-5121 | 2011-03-21 |
| 1538769112 | Jason Cahill | Pharmacist | 6819 Waltons Ln, Gloucester, VA 23061-6113 | 2020-10-31 |
| 1821698226 | Frances E Warren | Pharmacist | 6819 Waltons Ln, Gloucester, VA 23061-6113 | 2020-10-27 |
| 1962002295 | Oleg V Bandurco | Pharmacist | 6819 Waltons Ln, Gloucester, VA 23061-6113 | 2020-10-27 |
| Find all providers in GLOUCESTER | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
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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.