DUSTIN CHARLES HOLLERN (NPI# 1265845465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265845465 |
| Entity Type | Individual |
| Full Name | DUSTIN CHARLES HOLLERN |
| Credential | PHARM.D. |
| Practice Address |
14813 Spotswood Trl Elkton VA 22827-3024 |
| Practice Telephone | 5402982234 |
| Mailing Telephone | 5402982234 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202212629 | VA | Pharmacy Service Providers |
| Street Address |
14813 SPOTSWOOD TRL |
| City | ELKTON |
| State | VA |
| Zip Code | 22827-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619268232 | Mechelle Anwar Kamal Ghattas | Pharmacist | 14813 Spotswood Trl, Elkton, VA 22827-3024 | 2011-04-29 |
| 1215450218 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14813 Spotswood Trl, Elkton, VA 22827-3024 | 2017-07-21 |
| 1942641493 | Erin Burke | Pharmacist | 14813 Spotswood Trl, Elkton, VA 22827-3024 | 2013-07-12 |
| 1962794255 | Kazeem Adedayo Funmilayo | Pharmacist | 14813 Spotswood Trl, Elkton, VA 22827-3024 | 2011-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162947 | Anna Maria Sullivan | Speech-Language Pathologist | 14556 Rockingham Pike, River Bend Elementary School, Elkton, VA 22827 | 2018-01-18 |
| 1215314703 | Speech and Language Center Pllc | Speech-Language Pathologist | 800 Shenandoah Avenue, Suite 170, Elkton, VA 22827 | 2015-05-04 |
| 1417387226 | Patrick B Smith | Physical Therapist | 800 Shenandoah Ave, Suite 140, Elkton, VA 22827 | 2013-11-14 |
| 1215188255 | Lee William Robertson | Optometrist | 204 W Spotswood Trail, Elkton Eyecare, Elkton, VA 22827 | 2008-10-08 |
| 1962930537 | Erin Elizabeth Morris | Nurse Practitioner | 800 Shenandoah Avenue, Suite 170, Elkton, VA 22827 | 2017-05-26 |
| 1750827523 | Harrisonburg Community Health Center Inc | Clinic/Center | 800 Shenandoah Avenue, Suite 170, Elkton, VA 22827 | 2017-01-17 |
| 1285142208 | Mary Johanna Fox Klein | Speech-Language Pathologist | 302 W B St, Elkton, VA 22827-1010 | 2018-01-11 |
| 1902825409 | Garner H Downey | Optometrist | 304 W Spotswood Ave, Elkton, VA 22827-1100 | 2006-07-18 |
| 1306126743 | Elkton Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 304 W Spotswood Ave, Elkton, VA 22827-1100 | 2011-08-17 |
| 1801984919 | Drs Downey&veith Optometrist | Optometrist | 304 W Spotswood Ave, Elkton, VA 22827-1100 | 2006-10-11 |
| Find all providers in zip 22827 | ||||
| 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 |
|---|---|---|---|---|
| 1265076368 | Tonisha Tyler | Pharmacist | 120 E Pulaski Hwy # 120, Elkton, MD 21921-6430 | 2019-10-31 |
| 1588210314 | Nageshwar Rao Hinge | Pharmacist | 218 E Pulaski Hwy, Elkton, MD 21921-6650 | 2019-08-16 |
| 1356832752 | Eunhee Lim | Pharmacist | 120 E Pulaski Hwy Ste 120, Elkton, MD 21921-6430 | 2018-05-22 |
| 1013337765 | Lance Mansfield | Pharmacist | 44 Public Sq, Elkton, KY 42220 | 2014-04-21 |
| 1124443049 | Hetalben B Patel | Pharmacist | 120 E Pulaski Hwy, Elkton, MD 21921-6430 | 2014-02-28 |
| 1609144823 | Eric Joseph Strauss | Pharmacist | 301 E Pulaski Highway, Elkton, MD 21921 | 2011-12-02 |
| 1295027316 | Smartermeds, Pllc. | Pharmacist | 5279 Cypress Links Blvd, Elkton, FL 32033-4044 | 2011-05-08 |
| 1619268232 | Mechelle Anwar Kamal Ghattas | Pharmacist | 14813 Spotswood Trl, Elkton, VA 22827-3024 | 2011-04-29 |
| 1285945063 | Larisa Burke | Pharmacist | 728 E Pulaski Hwy, Elkton, MD 21921-6029 | 2010-06-28 |
| 1669484069 | Rebecca Lynn Marshall | Pharmacist | 707 N Bridge St, Elkton, MD 21921-5314 | 2006-08-13 |
| Find all providers in ELKTON | ||||
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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.