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).
| 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 |
| 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 |
| Street Address |
40 V-TWIN DRIVE SUITE 107 |
| City | GETTYSBURG |
| State | PA |
| Zip Code | 17325 |
| 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 |
| Find all providers in zip 17325 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 | GETTYSBURG |
| Zip Code | 17325 |
Please comment or provide details below to improve the information on KERA JOAN PROVOST.
| 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.