DR. SHIRIF WAGIEH MITRY (NPI# 1235411455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235411455 |
| Entity Type | Individual |
| Full Name | DR. SHIRIF WAGIEH MITRY |
| Credential | PHARM.D., M.B.A. |
| Practice Address |
2351 Franklin Rd Sw Roanoke VA 24014-1111 |
| Mailing Address |
2693 Blossom Trl E Blacksburg VA 24060-4950 |
| Practice Telephone | 5409856491 |
| Mailing Telephone | 5408182229 |
| Mailing Fax Number | 5409515255 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202205746 | VA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202205746 | VA | Pharmacy Service Providers |
| Street Address |
2351 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013171677 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2351 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2008-07-14 |
| 1457607665 | Shaina Mcfaddin | Pharmacist | 2351 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2012-07-25 |
| 1467735886 | Michelle Ka-lai Michiko Tada | Pharmacist | 2351 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2011-09-21 |
| 1306128665 | Della Jean Warner | Pharmacist | 2351 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2011-09-13 |
| 1841571585 | Janelle S Blankenship | Pharmacist | 2351 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1598139040 | Tina Kathryn Brockman | Pharmacist | 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903 | 2015-11-20 |
| 1033726104 | Doris Amo-mensah | Pharmacist | 1240 3rd St Sw, Roanoke, VA 24016-4612 | 2020-09-23 |
| 1245854322 | Ashley Nicole Heath | Pharmacist | 614 Brandon Ave Sw, Roanoke, VA 24015-3212 | 2020-06-03 |
| 1982234860 | Aaron Matthew Hall | Pharmacist | 7223 Williamson Rd, Roanoke, VA 24019-4234 | 2020-01-20 |
| 1316587835 | William Thomas Heath IIi | Pharmacist | 4488 Electric Rd, Roanoke, VA 24018-0722 | 2020-01-13 |
| 1851953483 | Patrick James Allen | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2019-07-03 |
| 1295203263 | Collin Strunk | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-11-08 |
| 1366910499 | Nathan Everson | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-11-07 |
| 1164990297 | David Joseph Sugrue | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-11-07 |
| Find all providers in ROANOKE | ||||
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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.