ALIVIA CORA PARKER (NPI# 1366921066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366921066 |
| Entity Type | Individual |
| Full Name | ALIVIA CORA PARKER |
| Other Name | ALIVIA CORA KUSIAK |
| Credential | PHARMD |
| Practice Address |
50 Foster Brook Blvd Bradford PA 16701-3276 |
| Mailing Address |
Po Box 47 Derrick City PA 16727-0047 |
| Practice Telephone | 5703895755 |
| Mailing Telephone | 8144624383 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP452389 | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PHARMACIST LICENSE | RP452389 | 01 |
| Street Address |
50 FOSTER BROOK BLVD |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770500910 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2006-07-16 |
| 1114527868 | Richard Ghere | Pharmacist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2020-10-30 |
| 1184224222 | Shayne Nathan Saunders | Pharmacist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2020-10-28 |
| 1225208176 | Timothy Keith Rhinehart | Pharmacist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2008-03-06 |
| 1811070329 | Wal-mart Stores East, Lp | Technician/Technologist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| 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 |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1275087314 | Roger Feura | Pharmacist | 42 Langmaid Ln, Bradford, PA 16701-3930 | 2016-08-05 |
| 1114527868 | Richard Ghere | Pharmacist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2020-10-30 |
| 1184224222 | Shayne Nathan Saunders | Pharmacist | 50 Foster Brook Blvd, Bradford, PA 16701-3276 | 2020-10-28 |
| 1265917108 | Melissa Ann Gleason | Pharmacist | 36 Davis St, Bradford, PA 16701-2016 | 2018-09-26 |
| 1093172488 | Peter E. Macgillivray | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2016-01-15 |
| 1225401219 | Travis Ryan Gross | Pharmacist | 901 Lower Pln, Bradford, VT 05033 | 2015-11-12 |
| 1497127377 | Katherine Frank | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-30 |
| 1811369242 | Deborah Sleeper | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-26 |
| 1184096596 | Janeen Wernecke | Pharmacist | 901 Lower Pln, Bradford, VT 05033-8924 | 2015-10-25 |
| Find all providers in BRADFORD | ||||
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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.