MRS. LISA RAE MOLLICA (NPI# 1235217175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235217175 |
| Entity Type | Individual |
| Full Name | MRS. LISA RAE MOLLICA |
| Practice Address |
92 N Morgantown St Fairchance PA 15436-1038 |
| Mailing Address |
19 Albert St Uniontown PA 15401-5303 |
| Practice Telephone | 7245641700 |
| Practice Fax Number | 7245641704 |
| Mailing Telephone | 7244399402 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PP481222 | PA | Pharmacy Service Providers |
| Street Address |
92 N MORGANTOWN ST |
| City | FAIRCHANCE |
| State | PA |
| Zip Code | 15436-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289299 | Valentine Pharmacy | Pharmacy | 92 N Morgantown St, Fairchance, PA 15436-1038 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740348465 | Fairchance Firemens Ambulance | Ambulance | 31 Pittsburgh Street, Fairchance, PA 15436 | 2006-12-05 |
| 1164933891 | Pete Michael Zentkovich | Registered Nurse | 5 Sheldon Ave, Fairchance, PA 15436-1022 | 2017-10-20 |
| 1760473367 | Brian T Taylor | Family Medicine | 93 N Morgantown St, Fairchance, PA 15436-1039 | 2005-11-02 |
| 1821099649 | Robin William Beissell | Chiropractor | 103 N Morgantown St, Fairchance, PA 15436-1039 | 2005-08-02 |
| 1760717144 | Jenna Ann Piccolomini | Physician Assistant | 93 N Morgantown St, Fairchance, PA 15436-1039 | 2009-10-02 |
| 1003037201 | Centerville Clinics, Inc. | Clinic/Center | 93 N Morgantown St, Fairchance, PA 15436-1039 | 2007-05-02 |
| 1710969019 | Centerville Clinics Inc | Family Medicine | 93 N Morgantown St, Fairchance, PA 15436-1039 | 2005-11-14 |
| 1841430857 | Second Chance Two Inc | Substance Abuse Rehabilitation Facility | 304 Sheldon Ave, Fairchance, PA 15436-1072 | 2009-03-03 |
| 1548362031 | Fairchance Pharmacy | Pharmacist | 90 W Church St, Fairchance, PA 15436-1137 | 2006-09-04 |
| 1578043659 | Barbara Rura Struhar | Pharmacist | 90 W Church St, Fairchance, PA 15436-1137 | 2018-08-17 |
| Find all providers in zip 15436 | ||||
| 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 |
|---|---|---|---|---|
| 1548362031 | Fairchance Pharmacy | Pharmacist | 90 W Church St, Fairchance, PA 15436-1137 | 2006-09-04 |
| 1578043659 | Barbara Rura Struhar | Pharmacist | 90 W Church St, Fairchance, PA 15436-1137 | 2018-08-17 |
| 1235591884 | Laura Rhoades | Pharmacist | 90 W Church St, Fairchance, PA 15436-1137 | 2016-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | FAIRCHANCE |
| Zip Code | 15436 |
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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.