JEFFREY MICHAEL GONZALEZ (NPI# 1174968945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174968945 |
| Entity Type | Individual |
| Full Name | JEFFREY MICHAEL GONZALEZ |
| Practice Address |
2868 County Route 10 Windham NY 12496-1639 |
| Practice Telephone | 4076256535 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 057624 | NY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PS37322 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700088531 | Jeffrey S. Gonzalez | Psychologist | 181 S Broadway, Tarrytown, NY 10591-4531 | 2007-06-04 |
| 1306978572 | Jeffrey E Gonzalez | Preventive Medicine | Ak12 Calle 8, Pradera, Toa Baja, PR 00949-4081 | 2007-03-12 |
| 1538781380 | Jeffrey Raymond Gonzalez | Pharmacist | 111 Colchester Ave, Mailstop 272ba1, Burlington, VT 05401 | 2020-05-15 |
| 1528495066 | Jeffrey Rene Gonzalez | Counselor | 301 Broadway, Chelsea, MA 02150-2807 | 2013-09-30 |
| Street Address |
2868 COUNTY ROUTE 10 |
| City | WINDHAM |
| State | NY |
| Zip Code | 12496-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598820359 | Windham Ashland Jewett Csd | Local Education Agency (LEA) | 5411 State Route 23, Windham, NY 12496 | 2006-12-22 |
| 1194040717 | William Thomas Quackenbush IIi | Pharmacist | Rte 296 & South St, Windham, NY 12496-0068 | 2010-04-07 |
| 1780604173 | Windham Pharmacy of Greene County Inc | Pharmacy | 6 State Route 296, Suite 10, Windham, NY 12496-0068 | 2006-07-20 |
| 1245647189 | Teri Martin Family Nurse Practitioner PC | Clinic/Center | 10 North Ridge Extension, Windham, NY 12496-0794 | 2014-07-11 |
| 1427556307 | Windham Pharma Inc | Pharmacy | 61 State Route 296, Windham, NY 12496-5308 | 2018-01-25 |
| 1770141608 | Sg Lisenced Behavior Analyst PC | Behavioral Analyst | 31 Quads Way, Windham, NY 12496-5323 | 2019-06-05 |
| 1235286782 | Town of Windham | Ambulance | 4786 State Route 23, Windham, NY 12496-5466 | 2007-01-05 |
| 1912958372 | Robert Otten Jr. | Chiropractor | 5414 Main St, Windham, NY 12496-5802 | 2006-05-12 |
| 1417908971 | Laura Bartner | Chiropractor | 5414 Main St, Windham, NY 12496-5802 | 2006-05-12 |
| 1457551962 | Cheryl Anne Goettsche | Speech-Language Pathologist | 526 County Route 21, Windham, NY 12496-5829 | 2007-07-23 |
| Find all providers in zip 12496 | ||||
| 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 |
|---|---|---|---|---|
| 1881295624 | Melissa Foss | Pharmacist | 797 Roosevelt Trl, Windham, ME 04062-5341 | 2020-11-06 |
| 1053806521 | Thomas Fraser | Pharmacist | 24 Cedar Hl, Windham, CT 06280-1418 | 2018-06-27 |
| 1275984395 | Anait Lvin | Pharmacist | 112 Castle Hill Rd, Windham, NH 03087-1746 | 2016-06-29 |
| 1356717169 | Gary Manzo | Pharmacist | 28 Mount Hunger Shore Rd, Windham, ME 04062-5662 | 2015-08-16 |
| 1710308895 | Keith Flenniken | Pharmacist | 20 Range Rd, Windham, NH 03087-2022 | 2013-12-17 |
| 1194040717 | William Thomas Quackenbush IIi | Pharmacist | Rte 296 & South St, Windham, NY 12496-0068 | 2010-04-07 |
| 1104940006 | Robert Chauncey Haas | Pharmacist | 1 Juniper Rd, Windham, NH 03087-1424 | 2007-03-17 |
| 1750472288 | David R Gearhart | Pharmacist | 10605 State Route 303, Windham, OH 44288-9778 | 2006-09-28 |
| 1285246140 | Pierre Sam Hanna | Pharmacist | 741 Roosevelt Trl, Windham, ME 04062-5269 | 2020-08-20 |
| 1306485065 | Gabrielle Kana Tiezan | Pharmacist | 741 Roosevelt Trl, Windham, ME 04062-5269 | 2019-12-29 |
| Find all providers in WINDHAM | ||||
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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.