KERA JOAN PROVOST


Address: 40 V-twin Drive, Suite 107, Gettysburg, PA 17325
Phone: 7173392600

KERA JOAN PROVOST (NPI# 1245664820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245664820
Entity Type Individual
Full Name KERA JOAN PROVOST
Credential RPH
Practice Address 40 V-twin Drive
Suite 107
Gettysburg
PA 17325
Practice Telephone 7173392600
Practice Fax Number 7173392601
Mailing Telephone 7173392600
Mailing Fax Number 7173392601
Enumeration Date 2013-08-30
Last Update Date 2013-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RP1007201 PA Pharmacy Service Providers
N 183500000X Pharmacist RP036363R PA Pharmacy Service Providers

Office Location

Street Address 40 V-TWIN DRIVE
SUITE 107
City GETTYSBURG
State PA
Zip Code 17325

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427684059 Health Care Center LLC Clinic/Center 16e Hanover Street, Hanover St, Gettysburg, PA 17325 2020-03-16
1578039574 Cpmoptometry LLC Point of Service Walmart Vision, 3271 Pa 940, Mt Pocono, PA 17325 2018-10-17
1306353933 Hayley Michelle Kidd Physical Therapist 237 Savannah Dr, Gettysburg, PA 17325 2018-01-04
1700247582 Renee Lehman LLC Physical Therapist 249 B York Street, Gettysburg, PA 17325 2016-03-08
1790922524 Shannon Shutika Physical Therapist 867 York Road, Gettysburg, PA 17325 2009-01-15
1245489988 Edward Mitchell O'brien Acupuncturist 2311 Fairfield Rd., Suite E, Gettysburg, PA 17325 2008-09-18
1184882011 The Gettysburg Hospital-short Procedure Clinic/Center 450 South Washington St, Suite A, Gettysburg, PA 17325 2008-05-28
1619196227 Susquehanna Optical Inc Eyewear Supplier (Equipment, not the service) 506 W. Middle St., Gettysburg, PA 17325 2007-04-24
1164542437 John Martin Fidler Prosthetic/Orthotic Supplier 26 Baltimore St, Gettysburg, PA 17325 2007-03-30
1811015498 Thomas Ronald Stahl Massage Therapist 3144 Fairfield Rd, Gettysburg, PA 17325 2007-03-26
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972897759 Mona Viramgama Pharmacist 231 W High St, Gettysburg, PA 17325-2124 2011-06-08
1093981243 Michael John Mccaffrey Pharmacist 231 West St, Gettysburg, PA 17325-2510 2008-05-07
1750982559 Cheryl Orndorff Pharmacist 1270 York Rd, Gettysburg, PA 17325-7562 2020-11-06
1942801717 Amber Renee Rupp Pharmacist 1270 York Rd, Gettysburg, PA 17325-7562 2020-11-06
1568017499 Elizabeth Laurel Tigner Pharmacist 231 West St, Gettysburg, PA 17325-2510 2019-08-07
1932682390 John Raymond Rolewski Pharmacist 231 West St, Gettysburg, PA 17325-2510 2018-09-12
1639448038 Donald Thomas Mcmyne Pharmacist 40 V Twin Dr, Suite 107, Gettysburg, PA 17325-7875 2011-12-14
1699064592 Yuet Lam Tong Pharmacist 231 West St, Gettysburg, PA 17325-2510 2011-03-31
1639251671 Christine Marie Sawinsky Pharmacist 103 E Commercial Ave, Gettysburg, SD 57442-1101 2006-10-19

Providers in the same taxonomy and state

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
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Competitor

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City GETTYSBURG
Zip Code 17325

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Dataset Information

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.

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