MR. GARY F. JERGE (NPI# 1386976579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386976579 |
| Entity Type | Individual |
| Full Name | MR. GARY F. JERGE |
| Credential | RPH |
| Practice Address |
11200 Maple Ridge Rd. Tops Pharmacy Medina NY 14103-1844 |
| Practice Telephone | 5857981629 |
| Practice Fax Number | 5857981623 |
| Mailing Telephone | 5857981629 |
| Mailing Fax Number | 5857981623 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 033783 | NY | Pharmacy Service Providers |
| Street Address |
11200 MAPLE RIDGE RD. TOPS PHARMACY |
| City | MEDINA |
| State | NY |
| Zip Code | 14103-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772473 | Melody Ann Parker | Licensed Practical Nurse | 1026 Park Avenue, Medina, NY 14103 | 2012-05-18 |
| 1720253883 | Gary L Condoluci | Massage Therapist | 11020 West Center St Ext, Medina, NY 14103 | 2008-04-29 |
| 1437280955 | Orleans Community Health | Clinic/Center | 11020 West Center Street Ext., Medina, NY 14103 | 2007-03-08 |
| 1902933328 | Sallah U Abbasey | Homeopath | 3662 Culvert Road, Medina, NY 14103 | 2007-02-27 |
| 1548395429 | Salvatore Russell Pecoraro | Emergency Medicine | 200 Ohio Street, Medina Memorial Hospital, Medina, NY 14103 | 2007-02-22 |
| 1285783704 | Medina Central School District | Local Education Agency (LEA) | One Mustang Drive, Medina, NY 14103 | 2007-01-10 |
| 1639278310 | Ekram John Boulos | Otolaryngology | 11075 West Center Street Extension, Medina, NY 14103 | 2006-09-21 |
| 1598771289 | Katherine Price | Midwife | 100 Ohio Street, Medina, NY 14103 | 2006-08-01 |
| 1831156967 | Nadia Alexandra Nava | Physical Therapist | 711 Park Ave, Medina, NY 14103 | 2006-05-01 |
| 1336104090 | Amy Sue Herman | Pharmacist | 526 Main Street, Rosenkrans Pharmacy, Medina, NY 14103 | 2006-04-18 |
| Find all providers in zip 14103 | ||||
| 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 |
|---|---|---|---|---|
| 1881149748 | Matt Baldwin | Pharmacist | 211 Three Oaks Dr, Medina, TN 38355-1501 | 2016-08-22 |
| 1679969919 | Randall Charles | Pharmacist | 6385 Highland Green Dr, Medina, OH 44256-6504 | 2015-04-14 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1871768770 | Thomas Michael Bauer | Pharmacist | 2800 Matthew Ln, Medina, OH 44256-7947 | 2008-04-23 |
| 1639372774 | Nimesh Chandrakant Patel | Pharmacist | 1090 Enterprise Dr, Medina, OH 44256-1328 | 2007-06-07 |
| 1982725958 | Linda J Zientek | Pharmacist | 1422 S Main St, Medina, NY 14103-9779 | 2007-04-03 |
| 1740307693 | Scott Hall | Pharmacist | 1105 N Court St, Medina, OH 44256-1521 | 2007-03-24 |
| 1568503860 | Karl Hoon Um | Pharmacist | 275 Forest Meadows Dr, Medina, OH 44256-1632 | 2007-02-09 |
| 1447300603 | Donna Boals Schlesinger | Pharmacist | 609 Hwy 45 Bypass, Medina, TN 38355 | 2007-01-11 |
| 1093768475 | Jeffrey A Ristau | Pharmacist | 300 Clydesdale Trl, T-2223, Medina, MN 55340-4538 | 2006-05-18 |
| Find all providers in MEDINA | ||||
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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.