AMBER J ENTERLINE (NPI# 1366876138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366876138 |
| Entity Type | Individual |
| Full Name | AMBER J ENTERLINE |
| Credential | PHARMD |
| Practice Address |
4100 W 3rd Street Attn Pharmacy Dayotn OH 45428 |
| Practice Telephone | 9372686511 |
| Mailing Telephone | 9372686511 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03132239 | OH | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | S019517 | AZ | Pharmacy Service Providers |
| Street Address |
4100 W 3RD STREET ATTN PHARMACY |
| City | DAYOTN |
| State | OH |
| Zip Code | 45428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| 1386739241 | Kimmy Kay Bloch | Kinesiotherapist | 4100 West Third St., Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| 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 |
|---|---|---|---|---|
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1104427921 | Karen Ann Froendhoff | Pharmacist | 1815 St Rt 125, Amelia, OH 45102-2565 | 2020-11-06 |
| 1548861446 | Ina M Parekh | Pharmacist | 2557 Nicholas Ln, Dresden, OH 43821-9578 | 2020-11-06 |
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1063013803 | Priti C Shah | Pharmacist | 8523 Hickory Hill Dr, Youngstown, OH 44514-3285 | 2020-11-06 |
| 1841891900 | Ami Hardik Parikh | Pharmacist | 8288 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-11-05 |
| 1609477835 | Roy Walter Palumbo IIi | Pharmacist | 1116 Bedford Rd, Lowellville, OH 44436-9748 | 2020-11-04 |
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1083215172 | Ashley Dozier | Pharmacist | 8288 Cincinnati-dayton Road, West Chester, OH 45069 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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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.