TARGET (NPI# 1164781167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164781167 |
| Entity Type | Organization |
| Organization Name | TARGET |
| Practice Address |
2840 Ash Ridge Dr Beavercreek OH 45434-5895 |
| Mailing Address |
2800 Shiloh Springs Rd Trotwood OH 45426-2137 |
| Practice Telephone | 9377516375 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Authorized Official Name | LEMLEM TEKLE (PHARMACIST) |
| Authorized Official Telephone | 9378549933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03325092 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927069 | Target | Pharmacist | 6944 Lakeway St, Ypsilanti, MI 48197-1052 | 2015-11-19 |
| 1093183113 | Target | Clinic/Center | 2228 S Sanctuary Dr, New Berlin, WI 53151-1920 | 2015-09-05 |
| 1841666328 | Target | Community/Behavioral Health | 14391 Chantilly Crossing Lane, Chantilly, VA 20151 | 2015-08-19 |
| 1336540301 | Target | Pharmacy | 1040 Deer Ridge Dr, Baltimore, MD 21210-2558 | 2014-09-10 |
| 1104295054 | Target | Pharmacy | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2015-09-22 |
| 1215306642 | Target | Pharmacy | 3150 Business Park Dr, Vista, CA 92081-8520 | 2015-09-15 |
| 1356719454 | Target | Pharmacist | 500 W Sunrise Hwy, Valley Stream, NY 11581-1001 | 2015-09-04 |
| 1336525054 | Target | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2015-08-04 |
| 1104200203 | Target | Pharmacy | 15922 Crain Hwy, Brandywine, MD 20613-8000 | 2015-07-17 |
| 1447637186 | Target | Pharmacy | 30333 Southfield Rd, Southfield, MI 48076-1352 | 2015-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TARGET | 500 S Hicks Rd, Palatine, IL 60067-6943 |
| Vermont Business Registrations | TARGET - R.A.D. | Rfd #1, Newport, VT 05855 |
| Indiana Business Entities | TARGET 1 MARKETING LLC | 597 Country Club Estates Dr., Corydon, IN 47112 |
| Colorado Business Entities | Target 1, LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| New York State Corporations | TARGET 10 NICHE MARKETING & PUBLIC RELATIONS, INC. | 522 West 50th Street, #c2, New York, New York 10019 |
| Washington State Corporations | TARGET 13, L.L.C. | 1316 E College Way, Mount Vernon, WA 98273-5619 |
| Colorado Business Entities | Target 2 LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| Oregon Corporations, Companies and Business Names | TARGET 2004, L.L.C. | 3136 Ne Jackson Rd Lp, Hillsboro, OR 97124 |
| New York State Corporations | TARGET 250, INC. | Hippodrome Ctr 4th Floor, 1120 Avenue of The Americas, New York, New York 10036 |
| Massachusetts Corporations | TARGET 250, INC. | 1170 Headquarters Plaza, Morristown, NJ 07960 |
| Street Address |
2840 ASH RIDGE DR |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45434-5895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538550314 | Lemlem Tekle | Pharmacist | 2840 Ash Ridge Dr, Beavercreek, OH 45434-5895 | 2015-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
| 1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
| 1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
| 1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
| 1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
| 1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
| 1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
| 1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
| 1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
| Find all providers in zip 45434 | ||||
| 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 |
|---|---|---|---|---|
| 1245859552 | Betsy Jean Carnevale | Pharmacist | 2510 Commons Blvd Ste 100, Beavercreek, OH 45431-3821 | 2020-04-16 |
| 1063860310 | Melissa Barker | Pharmacist | 1743 Turnbull Rd, Beavercreek, OH 45432-2321 | 2016-05-26 |
| 1720335573 | Ryan Michael Beauchamp | Pharmacist | 3197 Rodenbeck Dr, Beavercreek, OH 45432-2690 | 2012-08-11 |
| 1619258720 | Anthony W Weiland | Pharmacist | 4370 Hobnail Ct, Beavercreek, OH 45432-1859 | 2011-09-01 |
| 1164715942 | Jeanette Sawires | Pharmacist | 2534 King George St, Beavercreek, OH 45431-5703 | 2011-05-26 |
| 1215235460 | Ajai Paul | Pharmacist | 2830 Woodsview Dr, Apt 12, Beavercreek, OH 45431-7729 | 2011-03-10 |
| 1356566681 | Joe Brian White | Pharmacist | 1072 Ceylon Cir, Beavercreek, OH 45430-1306 | 2007-04-13 |
| 1376640912 | Donald Symes Balas | Pharmacist | 3245 Seajay Dr, C/o Lofino's Pharmacy, Beavercreek, OH 45430-1356 | 2006-09-17 |
| 1770184525 | Diane Gulas | Pharmacist | 3360 Pentagon Blvd, Beavercreek, OH 45431-1702 | 2020-11-06 |
| 1194326025 | Dorae Christina Bush | Pharmacist | 3360 Pentagon Blvd, Beavercreek, OH 45431-1702 | 2020-11-06 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45434 |
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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.