AMANDA BRAGG (NPI# 1336778794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336778794 |
| Entity Type | Individual |
| Full Name | AMANDA BRAGG |
| Practice Address |
989 Burnt Tavern Rd Brick NJ 08724-2014 |
| Mailing Address |
19 Rockingham Way Manchester NJ 08759-5051 |
| Practice Telephone | 7328363049 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI04048600 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513094 | Amanda Bragg | Pharmacist | 74 W Main St, Buckhannon, WV 26201-2258 | 2020-09-23 |
| Street Address |
989 BURNT TAVERN RD |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710313341 | Lauren Courtney Bracken | Nurse Practitioner | 989 Burnt Tavern Rd, Suite 2, Brick, NJ 08724-2014 | 2013-09-14 |
| 1427685205 | Heather Attardo | Nurse Practitioner | 989 Burnt Tavern Rd, Brick, NJ 08724-2014 | 2020-03-24 |
| 1235611831 | Ericka Sunnerville | Nurse Practitioner | 989 Burnt Tavern Rd, Brick, NJ 08724-2014 | 2018-08-30 |
| 1861916702 | Justine Barnao | Nurse Practitioner | 989 Burnt Tavern Rd, Brick, NJ 08724 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| 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 |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1376156166 | Alexandria Berns | Pharmacist | 424 Jack Martin Blvd, Brick, NJ 08724-7712 | 2020-08-31 |
| 1760794648 | Kent A Eagelton | Pharmacist | 1041 Burnt Tavern Rd, Brick, NJ 08724-1967 | 2010-07-08 |
| 1376763326 | Peter James Marino | Pharmacist | 116 Queen Ann Rd, Brick, NJ 08723-7943 | 2007-05-01 |
| 1215157649 | Robert Bernard Bucco | Pharmacist | 114 Cranbury Rd, Brick, NJ 08724-3810 | 2007-04-26 |
| 1588605851 | Hemandri Monish Patel | Pharmacist | 970 Rt 70, 970, Brick, NJ 08724-2723 | 2006-06-09 |
| 1285235812 | Melissa Weiss | Pharmacist | 1872 Route 88, Brick, NJ 08724-3535 | 2020-11-02 |
| 1447861117 | Faith Lynn Ratshin | Pharmacist | 2546 Hooper Ave, Brick, NJ 08723-6239 | 2020-08-14 |
| 1700432481 | Catherine Elizabeth Hedigan | Pharmacist | 1890 Route 88, Brick, NJ 08724-3535 | 2019-08-17 |
| Find all providers in BRICK | ||||
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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.