TOM DE PUE (NPI# 1396738985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396738985 |
| Entity Type | Individual |
| Full Name | TOM DE PUE |
| Credential | R.PH. |
| Practice Address |
20 Industrial Dr Du Bois PA 15801-3842 |
| Mailing Address |
140 Old Woods Rd Du Bois PA 15801-8726 |
| Practice Telephone | 8143755005 |
| Practice Fax Number | 8143755007 |
| Mailing Telephone | 8143750680 |
| Mailing Fax Number | 8143755007 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP-035912-L | PA | Pharmacy Service Providers |
| Street Address |
20 INDUSTRIAL DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790484 | Anthony Deloia | Pharmacist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2020-11-02 |
| 1891325460 | Heather Christine Mawn | Pharmacist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2020-01-22 |
| 1700297058 | Fatula Family Eye Care Pllc | Optometrist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2014-05-08 |
| 1730498452 | Dubois Regional Medical Group, PC | Family Medicine | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2010-09-29 |
| 1699083295 | Wal-mart Stores East Lp | Technician/Technologist | 20 Industrial Dr, Du Bois, PA 15801 | 2010-09-16 |
| 1245481787 | Hillary A Marshall | Physician Assistant | 20 Industrial Dr, Acute Care Clinic, Du Bois, PA 15801-3842 | 2008-10-02 |
| 1215158357 | William G Brown | Physician Assistant | 20 Industrial Dr, Acute Care Clinic, Du Bois, PA 15801-3842 | 2007-05-02 |
| 1881786432 | Thomas J. Herzing | Physician Assistant | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2006-09-29 |
| 1710092499 | Daniel Remo Fatula | Optometrist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2006-08-20 |
| 1861419921 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 |
|---|---|---|---|---|
| 1427658012 | Cynthia Ann Lines | Pharmacist | 313 Kitchen Rd, Du Bois, PA 15801-8773 | 2020-10-31 |
| 1760853170 | Mandi Palumbo | Pharmacist | 1587 Treasure Lk, Du Bois, PA 15801-9042 | 2015-10-12 |
| 1437448321 | Jennine Ann Rozanski | Pharmacist | 431 Commons Dr, Du Bois, PA 15801-3815 | 2011-03-31 |
| 1326370651 | Amy Lynn Yutzey | Pharmacist | 5820 Shaffer Rd, Du Bois, PA 15801-3874 | 2010-02-11 |
| 1083714539 | Thomas Evan Bowser | Pharmacist | 241 W Long Ave, Du Bois, PA 15801-2105 | 2006-09-24 |
| 1699792325 | Kim Marie Baun | Pharmacist | 202 Commons Dr, Du Bois, PA 15801-3808 | 2006-07-17 |
| 1831790484 | Anthony Deloia | Pharmacist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2020-11-02 |
| 1033718143 | Christopher Davis Heasley | Pharmacist | 241 W Long Ave, Du Bois, PA 15801-2105 | 2020-10-20 |
| 1902403405 | Michelle Bennett | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2020-10-07 |
| 1922613009 | Becky Mccracken | Pharmacist | 431 Commons Dr, Du Bois, PA 15801-3815 | 2020-09-15 |
| Find all providers in DU BOIS | ||||
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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.