MR. A BLAIR LUNDBERG (NPI# 1346207925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346207925 |
| Entity Type | Individual |
| Full Name | MR. A BLAIR LUNDBERG |
| Credential | RPH |
| Practice Address |
34 East 4th St Emporium PA 15834 |
| Practice Telephone | 8144863310 |
| Practice Fax Number | 8144860974 |
| Mailing Telephone | 8144862326 |
| Mailing Fax Number | 8144861065 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP029059L | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009393900002 | 05 | |
| NCPDP | 3989374 | 01 |
| Street Address |
34 EAST 4TH ST |
| City | EMPORIUM |
| State | PA |
| Zip Code | 15834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396940771 | Donna Mckimm | Registered Nurse | 3225 Rich Valley Rd, Emporium, PA 15834 | 2007-06-18 |
| 1225487895 | Robin Hammersley | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834 | 2016-06-06 |
| 1740334549 | Joel & June Caldwell Inc | Durable Medical Equipment & Medical Supplies | 105 4th St, Emporium, PA 15834 | 2007-01-22 |
| 1518167584 | Charles A. Blumle D.d.s., P.C. | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2007-07-18 |
| 1669634572 | Charles A Blumle | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2008-07-01 |
| 1710975768 | Jodi Rae Regulski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2005-10-12 |
| 1174173595 | Renee Mostyn | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2019-09-17 |
| 1285150227 | Savanah Marie Krivonyak | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-22 |
| 1215451927 | Kane Dental Center | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-03 |
| 1801338462 | Bryton Dybowski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-11-14 |
| Find all providers in zip 15834 | ||||
| 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 |
|---|---|---|---|---|
| 1912299371 | Thomas Luchs | Pharmacist | 620 E Allegany Ave, Emporium, PA 15834-1554 | 2011-05-04 |
| 1447226865 | Joel and June Caldwell, Inc. | Pharmacist | 105 E 4th St, Emporium, PA 15834-1444 | 2006-02-25 |
| 1194029538 | Howard Marshall Keebler IIi | Pharmacist | 318 E 4th St, Emporium, PA 15834-1514 | 2010-12-28 |
| 1871826206 | Celine A Huff | Pharmacist | 318 E 4th St, Emporium, PA 15834-1514 | 2009-09-17 |
| 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 | ||||
Please comment or provide details below to improve the information on MR. A BLAIR LUNDBERG.
| 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.