DAVID DEROSA (NPI# 1114330081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114330081 |
| Entity Type | Individual |
| Full Name | DAVID DEROSA |
| Practice Address |
762 Chester Pike Prospect Park PA 19076-1603 |
| Practice Telephone | 6104618852 |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2014-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP043592L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689790115 | David P Derosa | Chiropractor | 950 Yale Ave, Unit 32, Wallingford, CT 06492-1858 | 2007-03-22 |
| Street Address |
762 CHESTER PIKE |
| City | PROSPECT PARK |
| State | PA |
| Zip Code | 19076-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265521900 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 762 Chester Pike, Prospect Park, PA 19076-0000 | 2006-10-12 |
| 1447568258 | Rekha Rao | Pharmacist | 762 Chester Pike, Prospect Park, PA 19076-1603 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043616824 | Krista Mcshea Todd-burke | Occupational Therapist | 815 Chester Pike, Prospect Park Health and Rehabilitation Center, Prospect Park, PA 19076 | 2014-11-06 |
| 1558573774 | Family Chiropractic Wellness Center | Chiropractor | 625 Chester Pike, Prospect Park, PA 19076 | 2007-05-03 |
| 1205453719 | Delaney Hallowell | Physician Assistant | 547 13th Ave, Prospect Park, PA 19076-1101 | 2020-06-30 |
| 1750633848 | Progressive Health Inc | Home Health | 705 15th Ave, Prospect Park, PA 19076-1105 | 2012-10-12 |
| 1538377551 | Health Access Network | Internal Medicine | 1401 Lincoln Ave, Prospect Park, PA 19076-1107 | 2007-05-21 |
| 1730185950 | Mukesh A Patel | Internal Medicine | 1421 Lincoln Ave, Prospect Park, PA 19076-1107 | 2005-06-22 |
| 1194019166 | Mukesh Patel M.d | Internal Medicine | 1421 Lincoln Ave, Prospect Park, PA 19076-1107 | 2011-06-07 |
| 1477093409 | Jenna Syken | Prevention Professional | 500 16th Ave, Prospect Park, PA 19076-1120 | 2017-02-23 |
| 1467065284 | Holcomb Associates Inc. | Clinic/Center | 500 16th Ave, Prospect Park, PA 19076-1120 | 2020-08-31 |
| 1063970291 | Jon R Mathis | Specialist/Technologist | 661 13th Ave, Prospect Park, PA 19076-1202 | 2019-03-06 |
| Find all providers in zip 19076 | ||||
| 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 |
|---|---|---|---|---|
| 1427068857 | Naser M Obeidallah | Pharmacist | 214 Haledon Ave, Prospect Park, NJ 07508-2024 | 2006-08-08 |
| 1114544582 | Jennifer Van Huynh | Pharmacist | 702 Chester Pike, Prospect Park, PA 19076-1601 | 2020-07-01 |
| 1548657455 | Ayad Shuaib | Pharmacist | 317 N 11th St, Prospect Park, NJ 07508-2101 | 2015-04-17 |
| 1447568258 | Rekha Rao | Pharmacist | 762 Chester Pike, Prospect Park, PA 19076-1603 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | PROSPECT PARK |
| Zip Code | 19076 |
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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.