DEREK SUTHERLAND (NPI# 1356652796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356652796 |
| Entity Type | Individual |
| Full Name | DEREK SUTHERLAND |
| Credential | PHARMD |
| Practice Address |
1460 Lee Hwy Bristol VA 24201-2865 |
| Practice Telephone | 2766420738 |
| Mailing Telephone | 2766420738 |
| Mailing Fax Number | 2766420130 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202208428 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841572666 | Derek Charles Sutherland | Pharmacist | 4299 Union Deposit Rd, Harrisburg, PA 17111-2802 | 2011-09-19 |
| Street Address |
1460 LEE HWY |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568477529 | Walgreen Co | Pharmacy | 1460 Lee Hwy, Bristol, VA 24201-2865 | 2006-07-29 |
| 1912336397 | William Tyler Halstead | Pharmacist | 1460 Lee Hwy, Bristol, VA 24201-2865 | 2013-11-05 |
| 1982987822 | Samantha Brownlow Salyer | Pharmacist | 1460 Lee Hwy, Bristol, VA 24201-2865 | 2011-09-27 |
| 1124113212 | Charldeen Justice Bagwell | Pharmacist | 1460 Lee Hwy, Bristol, VA 24201-2865 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| 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 |
|---|---|---|---|---|
| 1073113791 | Jamie Lester | Pharmacist | 21531 Market Ctr, Bristol, VA 24202-1808 | 2020-10-30 |
| 1699281113 | Mythili Tarala | Pharmacist | 54 Bonnie Ct, Bristol, CT 06010-5994 | 2017-12-19 |
| 1750897666 | Ray Mcclellan Massengill IIi | Pharmacist | 15767 Monticello Dr, Bristol, VA 24202-4113 | 2017-12-15 |
| 1740703065 | Robert Christopher Isner Jr. | Pharmacist | 430 N Main St Ste A, Bristol, CT 06010-4117 | 2017-07-18 |
| 1033647755 | Alyssa Emily Capuano | Pharmacist | 2 Betsy Dr, Bristol, RI 02809-4552 | 2017-05-24 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1215324611 | George Le | Pharmacist | 90 Maheu St, Bristol, CT 06010-3049 | 2015-04-23 |
| 1457783490 | Amber Lynn Schreiner | Pharmacist | 1 Prince Ln, Bristol, VT 05443-1224 | 2013-08-01 |
| 1306282884 | Penni Anne Cheatle | Pharmacist | 160 Indiana St, Bristol, CT 06010-9138 | 2013-05-10 |
| 1932451473 | Katrina A Yoder | Pharmacist | 300 E Elkhart St, Bristol, IN 46507-9205 | 2012-10-08 |
| Find all providers in BRISTOL | ||||
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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.