TRAVIS RYAN GROSS (NPI# 1225401219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225401219 |
| Entity Type | Individual |
| Full Name | TRAVIS RYAN GROSS |
| Practice Address |
901 Lower Pln Bradford VT 05033 |
| Mailing Address |
901 Lower Pln Bradford VT 05033-8924 |
| Practice Telephone | 8022229292 |
| Mailing Telephone | 8022229292 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 033.0134102 | VT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 061088 | NY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21655 Redwood Ln, Unit A, Watertown, NY 136016399 | 5167243520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962628990 | Travis Lee Gross | Dentist | 9419 State Road 403, Charlestown, IN 47111 | 2007-04-18 |
| Street Address |
901 LOWER PLN |
| City | BRADFORD |
| State | VT |
| Zip Code | 05033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225145402 | Kph Healthcare Services, Inc. | Pharmacy | 901 Lower Pln, Bradford, VT 05033-8924 | 2006-08-24 |
| 1093172488 | Peter E. Macgillivray | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2016-01-15 |
| 1497127377 | Katherine Frank | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-30 |
| 1811369242 | Deborah Sleeper | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-26 |
| 1184096596 | Janeen Wernecke | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306215371 | Lynn Irwin | Psychoanalyst | 331 Upper Plain (u.s Route 5), Bradford Medical Center, Bradford, VT 05033 | 2015-09-21 |
| 1083907281 | Demetra S Hazatones | Counselor | 1483 Lower Plain, Bradford, VT 05033 | 2011-05-20 |
| 1841319043 | Douglas Marr Speck | Psychologist | 540 Route 5 South, Bradford, VT 05033 | 2007-03-28 |
| 1649353731 | Jessie Reynolds | Family Medicine | 437 South Main Street, Bradford, VT 05033 | 2006-10-23 |
| 1912087867 | Lisa K Jensen | Midwife | 331 Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1134209083 | Nancy Ryan Foote | Nurse Practitioner | 331 Upper Plain Suite 1, Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1073607644 | Lora Oakes Chatfield | Advanced Practice Midwife | 23 Upper Plain, Bradford, VT 05033 | 2006-10-03 |
| 1851407118 | Margarethe M Chobanian | Pediatrics | 437 South Main St, Bradford, VT 05033 | 2006-08-21 |
| 1396115218 | Bonnie W. Irwin | Psychoanalyst | 331 Upper Plain, Bradford Medical Center, Bradford, VT 05033 | 2015-10-05 |
| 1679858690 | Pamela Sue Ashton | Counselor | 131 Main St., 2nd Fl Suite3, Bradford, VT 05033 | 2011-10-21 |
| Find all providers in zip 05033 | ||||
| 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 |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1275087314 | Roger Feura | Pharmacist | 42 Langmaid Ln, Bradford, PA 16701-3930 | 2016-08-05 |
| 1114527868 | Richard Ghere | Pharmacist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2020-10-30 |
| 1184224222 | Shayne Nathan Saunders | Pharmacist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2020-10-28 |
| 1265917108 | Melissa Ann Gleason | Pharmacist | 36 Davis St, Bradford, PA 16701-2016 | 2018-09-26 |
| 1366921066 | Alivia Cora Parker | Pharmacist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2018-08-13 |
| 1093172488 | Peter E. Macgillivray | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2016-01-15 |
| 1497127377 | Katherine Frank | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-30 |
| 1811369242 | Deborah Sleeper | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-26 |
| 1184096596 | Janeen Wernecke | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-25 |
| Find all providers in BRADFORD | ||||
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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.