JUSTIN BRINK (NPI# 1366819211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366819211 |
| Entity Type | Individual |
| Full Name | JUSTIN BRINK |
| Credential | PHARMD |
| Practice Address |
889 Venture Dr Suite 2 Morgantown WV 26508-7311 |
| Mailing Address |
23 Popper St Manahawkin NJ 08050-5613 |
| Practice Telephone | 3042922787 |
| Mailing Telephone | 6092901275 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0009291 | WV | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WEST VIRGINIA BOARD OF PHARMACY | RP0009291 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003957358 | Justin Lloyd Brink | Dentist | 3071 College Green Dr, # C, Merced, CA 95348-3204 | 2007-02-09 |
| 1518003979 | Justin P Brink | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2007-01-30 |
| 1528138732 | Justin Brink | Physical Therapist | 453 Vandehei Ave, Suites 130, 140, Cheyenne, WY 82009-6010 | 2006-11-08 |
| Street Address |
889 VENTURE DR SUITE 2 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578829743 | Andrea Lyn Larson | Pharmacist | 889 Venture Dr, Morgantown, WV 26508-7311 | 2012-04-02 |
| 1649831744 | Rme Holdings LLC | Pharmacy | 889 Venture Dr, Morgantown, WV 26508-0056 | 2019-06-28 |
| 1548718679 | Julie Titley | Pharmacist | 889 Venture Dr, Morgantown, WV 26508-0056 | 2016-09-19 |
| 1225458516 | American Rx Pharmacy | Pharmacy | 889 Venture Dr, Suite 2, Morgantown, WV 26508-7311 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| 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 |
|---|---|---|---|---|
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1225681893 | Ronald Selders II | Pharmacist | 178 Mccormick Hollow Rd, Morgantown, WV 26508-9486 | 2019-07-22 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1437605227 | Kendall Kori Rouleau | Pharmacist | 5001 University Towne Center Dr, Morgantown, WV 26501-2267 | 2016-08-31 |
| 1548626914 | Hilary Hicks | Pharmacist | 500 Suncrest Centre, Morgantown, WV 26505 | 2016-01-14 |
| 1104201847 | Brian William Bedwick | Pharmacist | 215 Don Knotts Blvd Ste 120, Morgantown, WV 26501-6734 | 2015-07-23 |
| 1194113720 | Hank S Washer | Pharmacist | 205 West Gl Smith Street, Morgantown, KY 42261 | 2015-01-06 |
| 1902200165 | Kathy Hibbs | Pharmacist | 889 Venture Dr Ste 2, Morgantown, WV 26508-7311 | 2014-10-17 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
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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.