THOMAS IRA DEBUSK III (NPI# 1205115524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205115524 |
Entity Type | Individual |
Full Name | THOMAS IRA DEBUSK III |
Credential | RPH |
Practice Address |
140 South Main St. Rite Aid Pharmacy Stuart VA 24171 |
Mailing Address |
561 Woodland Dr Stuart VA 24171-5133 |
Practice Telephone | 2976944034 |
Mailing Telephone | 2766944034 |
Enumeration Date | 2011-08-04 |
Last Update Date | 2011-08-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 0202004380 | VA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | COMMONWEALTH OF VIRGINIA PHARMACIST LICENSE | 0202004380 | 01 |
Street Address |
140 SOUTH MAIN ST. RITE AID PHARMACY |
City | STUART |
State | VA |
Zip Code | 24171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
1902900202 | Pch Operations, LLC Dba R.j. Reynolds-patrick County Memorial Hospital | General Acute Care Hospital | 18688 Jeb Stuart Highway, Stuart, VA 24171 | 2006-09-08 |
Find all providers in zip 24171 |
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 |
---|---|---|---|---|
1497228290 | Kirsten Meacham | Pharmacist | 303 Sw 7th St Ste A, Stuart, IA 50250-2164 | 2019-01-04 |
1942735154 | Mirlande Lindor | Pharmacist | 2651 Nw Federal Highway, Stuart, FL 34994-3317 | 2017-04-25 |
1942547666 | Timothy Lee Jobson | Pharmacist | 4741 Se Chiles Ct, Stuart, FL 34997-1531 | 2013-01-15 |
1710262894 | Edward Allen Justice | Pharmacist | 700 E Ocean Blvd, Stuart, FL 34994-2332 | 2011-10-20 |
1427330158 | Gene Sherman Gray | Pharmacist | 5800 Se Federal Highway, Stuart, FL 34997 | 2011-09-20 |
1235314154 | Gregory Melendez | Pharmacist | 521 Se Edgewood Dr, Stuart, FL 34996-4714 | 2008-01-09 |
1376607796 | Kimberly Issac Jones | Pharmacist | 622 Colorado Ave, Stuart, FL 34994-3016 | 2006-12-20 |
1972679827 | Bernard Koenig | Pharmacist | 2160 S Federal Highway, Winn Dixie, Stuart, FL 34994-4515 | 2006-11-24 |
1396819777 | Colleen Leary Jochem | Pharmacist | 2160 South Federal Highway, Winn Dixie Pharmacy Store 307, Stuart, FL 34994 | 2006-11-20 |
1831281781 | Joseph A Ciccone | Pharmacist | 1267 Se Kirk St, Stuart, FL 34997-1532 | 2006-09-29 |
Find all providers in STUART |
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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.