BRITTANY BLACK (NPI# 1295104115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295104115 |
| Entity Type | Individual |
| Full Name | BRITTANY BLACK |
| Practice Address |
835 E 17th Ave Longmont CO 80504-3004 |
| Practice Telephone | 3036517468 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21027 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809914 | Brittany Ann Black | Nurse Practitioner | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2020-04-07 |
| 1205314424 | Brittany Andrell Black | Case Manager/Care Coordinator | 2411 Seaman St, Toledo, OH 43605-1519 | 2018-07-31 |
| 1982125787 | Brittany M Black | Marriage & Family Therapist | 4200 Perimeter Center Dr Ste 245, Oklahoma City, OK 73112-2322 | 2017-06-30 |
| 1619342953 | Brittany Black | Health Educator | 632 Erin Park Rd Unit A, Oak Harbor, WA 98277-2705 | 2015-12-12 |
| 1366721052 | Brittany Lyn Black | Speech-Language Pathologist | 301 Wolverine Trl, Suite 201, Smyrna, TN 37167-5656 | 2011-08-11 |
| Street Address |
835 E 17TH AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992710321 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 835 E 17th Ave, Longmont, CO 80504-3004 | 2006-07-31 |
| 1033758511 | Guy C Hertfelder | Pharmacist | 835 E 17th Ave, Longmont, CO 80504-3004 | 2019-12-31 |
| 1043592744 | Rex Stephen Lynd | Pharmacist | 835 E 17th Ave, Longmont, CO 80504-3004 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| 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 |
|---|---|---|---|---|
| 1255860284 | Kate Morgan | Pharmacist | 1749 Main St Unit D, Longmont, CO 80501-7441 | 2017-06-04 |
| 1124415500 | Lisa Witzke | Pharmacist | 2148 Sherman St, Longmont, CO 80501 | 2015-04-23 |
| 1952707499 | Danelle Perricelli | Pharmacist | 950 Grandview Mdws Dr, M206, Longmont, CO 80503-7741 | 2014-11-11 |
| 1366862500 | Brenda Logsdon | Pharmacist | 1912 Red Cloud Rd, Longmont, CO 80504-1968 | 2014-04-25 |
| 1306112636 | Jenny Landis | Pharmacist | 11685 Montgomery Cir, Longmont, CO 80504-5202 | 2012-03-30 |
| 1285918953 | Cynthia Lee Smart | Pharmacist | 1940 Ionosphere St Unit 5, Longmont, CO 80504-8416 | 2011-09-29 |
| 1497038616 | Pamela Harre | Pharmacist | 2320 N Main St, Longmont, CO 80501-1135 | 2011-09-23 |
| 1053611889 | Gregory O'malley | Pharmacist | 1630 Pace St, Longmont, CO 80504-2119 | 2010-10-27 |
| 1114158805 | Rodger Paul Wilson | Pharmacist | 1138 Wyndemere Cir, Longmont, CO 80501-2322 | 2009-07-29 |
| 1073786877 | Donald William Prather | Pharmacist | 13810 Weld County Road 1, Longmont, CO 80504-9303 | 2008-04-12 |
| Find all providers in LONGMONT | ||||
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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.