DR. JOHN C CAVALLARO (NPI# 1205118122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205118122 |
| Entity Type | Individual |
| Full Name | DR. JOHN C CAVALLARO |
| Credential | PHARMD |
| Practice Address |
4098 Edgmont Ave Brookhaven PA 19015-2211 |
| Mailing Address |
2101 Beacon Hill Dr Sicklerville NJ 08081-1174 |
| Practice Telephone | 6108768815 |
| Practice Fax Number | 6108768868 |
| Mailing Telephone | 8564019695 |
| Mailing Fax Number | 8564011010 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP040725L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639343254 | John S Cavallaro Sr. | Dentist | 315 Ave W, Bklyn, NY 11223 | 2008-04-15 |
| 1477868974 | John S Cavallaro Jr. | Dentist | 315 Avenue W, Brooklyn, NY 11223-5218 | 2010-08-10 |
| Street Address |
4098 EDGMONT AVE |
| City | BROOKHAVEN |
| State | PA |
| Zip Code | 19015-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215942206 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2006-07-29 |
| 1194326884 | Maksim Daku | Pharmacist | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2020-11-08 |
| 1407468895 | Richard Dong | Pharmacist | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2020-08-18 |
| 1265080378 | Kenny Khoi Ao | Pharmacist | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2019-09-02 |
| 1780119933 | Sean Mcdade | Pharmacist | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2017-04-25 |
| 1366710873 | Brian J Graci | Pharmacist | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2011-12-12 |
| 1174804330 | Kimberly Nicole Kleeman | Pharmacist | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2011-09-01 |
| 1083995245 | Xiem Nguyen-yip | Pharmacist | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2011-09-01 |
| 1063662849 | Mary Sue Nicholson | Nurse Practitioner | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2008-09-29 |
| 1265634042 | Sieda Barrow | Nurse Practitioner | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1932650926 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 4930 Edgemont Ave, Brookhaven, PA 19015 | 2016-10-14 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1790959633 | Darlene M Longstreth | Massage Therapist | 3766 Susan Lane, Kinderssage, Brookhaven, PA 19015 | 2008-04-22 |
| 1538205463 | Scott Thomas Steltz | Pharmacist | 601 Upland Ave Suite 112, Steltec Pharmacy - Crozier Mills Enterprise Center, Upland, PA 19015 | 2007-01-29 |
| 1083769327 | Parkside Fire Company | Ambulance | 107 West Roland, Parkside, PA 19015 | 2007-01-25 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1013015726 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3298 Edgemont Ave, Brookhaven, PA 19015 | 2006-09-20 |
| 1285743187 | Micheal A Erbicella | Dentist | 3213 Edgmont Ave, Brookhaven, PA 19015 | 2006-08-30 |
| Find all providers in zip 19015 | ||||
| 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 |
|---|---|---|---|---|
| 1003416850 | Radina Raytcheva | Pharmacist | 2901 Clairmont Rd Ne, Brookhaven, GA 30329-1639 | 2020-10-30 |
| 1215554787 | Valerie R Tenaglia | Pharmacist | 148 Meadowbrook Ln, Brookhaven, PA 19015-2813 | 2020-07-01 |
| 1548746886 | Jessica Walton | Pharmacist | 3105 Druid Hills Reserve Dr Ne, Brookhaven, GA 30329-2041 | 2018-07-18 |
| 1861900755 | Amy Elizabeth Bixler | Pharmacist | 1200 Lake Hearn Dr Ne Ste 425, Brookhaven, GA 30319-6419 | 2018-01-14 |
| 1215485065 | Joseph Fuselli | Pharmacist | 708 Lincoln Dr, Brookhaven, PA 19015-1019 | 2016-09-21 |
| 1447691696 | James E Crane Jr. | Pharmacist | 839 Boyte Dr Se, Brookhaven, MS 39601-8455 | 2013-07-16 |
| 1508207903 | Kacy Lynn Thomason | Pharmacist | 104 Town Blvd Ne # A100, Brookhaven, GA 30319-3146 | 2013-07-13 |
| 1629345939 | Amanda Dinmore | Pharmacist | 127 Meadowbrook Ln, Brookhaven, PA 19015-2812 | 2011-11-30 |
| 1023393808 | Howard King | Pharmacist | 4930 Edgmont Ave, Brookhaven, PA 19015-1201 | 2011-10-12 |
| 1194034264 | Bill E Blalack | Pharmacist | 218 S Whitworth Ave, Brookhaven, MS 39601-3343 | 2010-10-06 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 19015 |
Please comment or provide details below to improve the information on DR. JOHN C CAVALLARO.
| 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.