GEORGE STEPHAN DECELLE (NPI# 1366715138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366715138 |
Entity Type | Individual |
Full Name | GEORGE STEPHAN DECELLE |
Credential | PHARMACIST |
Practice Address |
1405 River Rd Manchester NH 03104-1639 |
Practice Telephone | 6038604532 |
Mailing Telephone | 6038604532 |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-02-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
3238 | NH | Pharmacy Service Providers |
Street Address |
1405 RIVER RD |
City | MANCHESTER |
State | NH |
Zip Code | 03104-1639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
Find all providers in zip 03104 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023018769 | Thomas Algozzine | Pharmacist | 88 Tiffany Ln, Manchester, NH 03104-4764 | 2005-07-22 |
1932295623 | Patricia Pomeroy Callahan | Pharmacist | Va Medical Center, 718 Smyth Road, Manchester, NH 03104 | 2006-10-04 |
1962454116 | Steven Lyle Whitcomb | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-05-16 |
1750382479 | Molly Mortimer | Pharmacist | 1 Elliot Way, Pharmacy Dept, Manchester, NH 03103-3502 | 2005-08-03 |
1912905274 | Marylou Kosmatka | Pharmacist | 1 Elliot Way, Elliot Hospital Pharmacy, Manchester, NH 03103-3502 | 2005-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154350031 | Ronda Lee Hatin | Pharmacist | 5 Colby Ct, Bedford, NH 03110-6426 | 2006-07-02 |
1568445336 | Wayne Arnold Dutch | Pharmacist | 52 Davis Rd, Merrimack, NH 03054-3316 | 2005-11-24 |
1245424167 | Susan R Littlepage | Pharmacist | 1 Medical Center Dr, Dhmc Inpatient Pharmacy, Lebanon, NH 03756 | 2007-09-04 |
1447467006 | Geoffrey A. Rickrode | Pharmacist | 1 Medical Center Dr, Pharmacy Department, Lebanon, NH 03756-1000 | 2007-05-16 |
1427264985 | Amanda Catherine Chuk | Pharmacist | 1 Medical Center Dr, Inpatient Pharmacy, Level 2, Lebanon, NH 03756-1000 | 2007-05-14 |
1215142799 | Anthony Salvatore Grasso | Pharmacist | 80 Highland St, Laconia, NH 03246-3235 | 2007-05-10 |
1366656753 | Brian David Fontaine | Pharmacist | 125 Mascoma St, Lebanon, NH 03766-2647 | 2007-05-09 |
1952520116 | Michael Joseph Saracino | Pharmacist | 243 Elm St, Claremont, NH 03743-4921 | 2007-04-25 |
City | MANCHESTER |
Zip Code | 03104 |
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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.