BRYAN DIETZEL (NPI# 1316566151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316566151 |
| Entity Type | Individual |
| Full Name | BRYAN DIETZEL |
| Credential | RPH |
| Practice Address |
675 E Sunset Blvd Celina TX 75009-4017 |
| Practice Telephone | 9723823989 |
| Mailing Telephone | 9723823989 |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2020-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 38050 | TX | Pharmacy Service Providers |
| Street Address |
675 E SUNSET BLVD |
| City | CELINA |
| State | TX |
| Zip Code | 75009-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528131851 | Brookshire Grocery Company | Pharmacy | 675 E Sunset Blvd, Attention Pharmacy Dept, Celina, TX 75009-4017 | 2006-11-16 |
| 1053959635 | Carmen Richard | Pharmacist | 675 E Sunset Blvd, Celina, TX 75009-4017 | 2019-12-14 |
| 1134766256 | Frederick Slay | Pharmacist | 675 E Sunset Blvd, Celina, TX 75009-4017 | 2019-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112266 | Texas Pro Homecare Inc. | Custodial Care Facility | 2706 Seabiscuit Road, Celina, TX 75009 | 2020-07-23 |
| 1750899688 | Dental Forest Pllc | Dentist | 1060 S. Preston Rd. #110, Celina, TX 75009 | 2018-01-12 |
| 1396121448 | Nielsen Dental Studio | Dentist | 2750 South Preston Road, Suite 111, Celina, TX 75009 | 2015-07-30 |
| 1477979797 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 310 S. Preston Rd, Celina, TX 75009 | 2014-03-11 |
| 1033550843 | Brandis F Thompson | Nurse Anesthetist, Certified Registered | 1321 Skyflower Ln, Celina, TX 75009 | 2013-07-09 |
| 1972795532 | Fereshteh Ganjoor | Dentist | 2750 Preston Rd, Ste #111, Celina, TX 75009 | 2007-08-16 |
| 1740285535 | Troy Scott Wroe | Chiropractor | 401 North Preston Road, Suite 330, Celina, TX 75009 | 2005-06-17 |
| 1053536789 | Malik Mohsin Ali | Internal Medicine | 1280 Settlers Rdg, Celina, TX 75009 | 2007-04-16 |
| 1922032663 | Erin Mahin Farahani | Chiropractor | 109 S Ohio St, Celina, TX 75009-0822 | 2006-07-10 |
| 1023665411 | Damaris Kubai | Registered Nurse | 3423 Secretariat Pl, Celina, TX 75009-1407 | 2019-08-21 |
| Find all providers in zip 75009 | ||||
| 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 |
|---|---|---|---|---|
| 1821380684 | Everett Dillard Whitson | Pharmacist | 1000 Gainesboro Hwy, Celina, TN 38551 | 2011-05-11 |
| 1487878807 | Tara Ashlock Anderson | Pharmacist | 151 Mcarthur Avenue, Celina, TN 38551 | 2007-04-13 |
| 1316548274 | Lindsay Shinabery | Pharmacist | 1950 Havemann Rd, Celina, OH 45822-9300 | 2020-11-05 |
| 1518567825 | Tabitha Fleck | Pharmacist | 1950 Havemann Rd, Celina, OH 45822-9300 | 2020-10-27 |
| 1134729544 | Janel Rex | Pharmacist | 1950 Havemann Rd, Celina, OH 45822-9300 | 2020-10-27 |
| 1376143776 | Keith Robert Kleman | Pharmacist | 1950 Havemann Rd, Celina, OH 45822-9300 | 2020-10-27 |
| 1033759295 | Kara Lee Lovitt | Pharmacist | 510 E Market St, Celina, OH 45822-1824 | 2020-01-15 |
| 1053959635 | Carmen Richard | Pharmacist | 675 E Sunset Blvd, Celina, TX 75009-4017 | 2019-12-14 |
| 1134766256 | Frederick Slay | Pharmacist | 675 E Sunset Blvd, Celina, TX 75009-4017 | 2019-12-09 |
| 1164891594 | Casey Shrum | Pharmacist | 1000 Gainesboro Hwy, Celina, TN 38551-5011 | 2015-09-16 |
| Find all providers in CELINA | ||||
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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.