KELLY BEYER (NPI# 1164022281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164022281 |
| Entity Type | Individual |
| Full Name | KELLY BEYER |
| Practice Address |
300 Walmart Dr Ebensburg PA 15931-4212 |
| Mailing Address |
165 Wine Barrel Ln Summerhill PA 15958-4908 |
| Practice Telephone | 8144710579 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP045442L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942329891 | Kelly Beyer | Registered Nurse | 19275 Northline Rd, Southgate, MI 48195-2220 | 2007-03-29 |
| Street Address |
300 WALMART DR |
| City | EBENSBURG |
| State | PA |
| Zip Code | 15931-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952396749 | Sharon Marie Hock | Optometrist | 300 Walmart Dr, Ebensburg, PA 15931-4212 | 2005-09-16 |
| 1154921765 | Jennifer Marie Burda | Pharmacist | 300 Walmart Dr, Ebensburg, PA 15931-4212 | 2020-11-01 |
| 1356941843 | Michelle Mcleary | Pharmacist | 300 Walmart Dr, Ebensburg, PA 15931-4212 | 2020-10-26 |
| 1942383344 | Wal-mart Stores East, Lp | Technician/Technologist | 300 Walmart Dr, Ebensburg, PA 15931-4212 | 2006-10-23 |
| 1134146368 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 300 Walmart Dr, Ebensburg, PA 15931-4212 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751288 | From The Heart Penn State | Home Health | 2354 Colver Road, Ebensburg, PA 15931 | 2017-06-29 |
| 1154722304 | Brenda Lee Stewart-bezilla | Specialist | 429 Manor Drive, Ebensburg, PA 15931 | 2014-09-08 |
| 1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
| 1083990220 | Brian J Sidone | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931 | 2011-11-02 |
| 1508158643 | Ibrahim Mustafa Altubasi | Physical Therapist | 3053 New Germany Road, Ebensburg, PA 15931 | 2011-05-09 |
| 1710281381 | Samantha R Snowberger | Counselor | 499 Manor Dr, Ebensburg, PA 15931 | 2010-12-22 |
| 1003090416 | Robert Regis Maruca | Dentist | 300 W Highland Ave, Ebensburg, PA 15931 | 2007-12-20 |
| 1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
| 1811094352 | Bruce Allen Felix | Optometrist | 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 | 2006-09-19 |
| 1255440947 | Errol Dudley Henriques | General Practice | 519 North Caroline Street, Ebensburg, PA 15931 | 2006-08-29 |
| Find all providers in zip 15931 | ||||
| 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 |
|---|---|---|---|---|
| 1457950438 | Sabrina Joye Blake | Pharmacist | 1180 Wilmore Rd, Ebensburg, PA 15931-3703 | 2020-10-21 |
| 1649688466 | Tanya Ratchford | Pharmacist | 142 Emerald Dr, Ebensburg, PA 15931-5726 | 2014-07-24 |
| 1427336031 | Denise M Slonac | Pharmacist | 4606 Admiral Peary Hwy, Ebensburg, PA 15931-4203 | 2011-07-30 |
| 1700906534 | Janie Cobun Balon | Pharmacist | 311 Emerald Dr, Ebensburg, PA 15931-5730 | 2007-03-29 |
| 1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
| 1659461051 | Rowland Humphreys Tibbott | Pharmacist | 1 Kimball Plz, Ebensburg, PA 15931-1706 | 2006-10-14 |
| 1154921765 | Jennifer Marie Burda | Pharmacist | 300 Walmart Dr, Ebensburg, PA 15931-4212 | 2020-11-01 |
| 1356941843 | Michelle Mcleary | Pharmacist | 300 Walmart Dr, Ebensburg, PA 15931-4212 | 2020-10-26 |
| 1851944854 | Justin Anthony Greggi | Pharmacist | 4606 Admiral Peary Hwy, Ebensburg, PA 15931-4203 | 2019-07-18 |
| 1043782386 | Sarah B Audi | Pharmacist | 3720 New Germany Rd, Ebensburg, PA 15931-1862 | 2018-12-27 |
| Find all providers in EBENSBURG | ||||
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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.