MR. THOMAS FAGAN (NPI# 1407922214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407922214 |
| Entity Type | Individual |
| Full Name | MR. THOMAS FAGAN |
| Practice Address |
1201 Broadwalk Blvd Richmond VA 23249 |
| Mailing Address |
12705 Clearwater Drive Midlothian VA 23114 |
| Practice Telephone | 8046755298 |
| Practice Fax Number | 8046755006 |
| Mailing Telephone | 8046755298 |
| Mailing Fax Number | 8046755006 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 28RI01782400 | NJ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0202007681 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790812352 | Thomas A. Fagan | Chiropractor | 75 Dorchester St, South Boston, MA 02127-2228 | 2007-02-28 |
| 1174133292 | Thomas Fagan | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-08-04 |
| 1861982050 | Thomas Michael Fagan | Chiropractor | 5555 Germantown Ave, Philadelphia, PA 19144-2225 | 2018-05-14 |
| 1598878431 | Thomas Fagan | Clinic/Center | 2954 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2006-08-16 |
| 1134116494 | Thomas Fagan | Pediatrics | 848 Adams Ave, L400, Memphis, TN 38103-2816 | 2005-10-03 |
| Street Address |
1201 BROADWALK BLVD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010407 | Chris Dinh Nguyen | Internal Medicine | 1201 Broad Rock Blvd Richmond, Richmond, VA 23249 | 2015-04-14 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1770786311 | Katherine Martin | Dentist | Mcguire Vamc Dental Service 1201 Broad Rock Blvd, Richmond, VA 23249 | 2007-06-11 |
| 1922197474 | Rufus Anthony Harris | Social Worker | 1201 Broadrock Boulevard, Room 1e 114, Richmond, VA 23249 | 2006-10-12 |
| 1497848386 | Patricia S Kelly | Religious Nonmedical Nursing Personnel | 1201 Brock Roack Blvd., Richmond, VA 23249 | 2006-10-02 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1932204682 | James Kenneth Schmitt | Internal Medicine | 1201 Broadrock Rd, Richmond, VA 23249 | 2006-09-14 |
| 1679675045 | Ida Foster | Family Medicine | 1801 Broad Rock Boulevard, Richmond, VA 23249 | 2006-09-05 |
| 1871607176 | James Luther Tatum | Nuclear Medicine | 1201 Broadrock Road, Richmond, VA 23249 | 2006-08-17 |
| 1891702270 | William Leighton Rock Jr. | Pharmacist | Hunter Holmes Mcguire Vamc (119f), 1201 Broad Rock Blvd, Richmond, VA 23249 | 2006-08-01 |
| Find all providers in zip 23249 | ||||
| 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 |
|---|---|---|---|---|
| 1578164448 | Jonathan Jean | Pharmacist | 24802 Timbarra Park Cir, Richmond, TX 77406-2787 | 2020-11-05 |
| 1255931895 | Lisa Kalning Howerton | Pharmacist | 2410 Sheila Ln, Richmond, VA 23225-2040 | 2020-10-30 |
| 1134730369 | Ding Yang | Pharmacist | 7 N 8th St Apt 1004, Richmond, VA 23219-3327 | 2020-08-11 |
| 1033758073 | Huong Ngoc Thien Bui | Pharmacist | 7810 Sydney Bay Ct, Richmond, TX 77407-1419 | 2019-12-21 |
| 1295378750 | Travis Christopher Schrecengost | Pharmacist | 2113 Barton Ave, Richmond, VA 23222-4401 | 2019-10-28 |
| 1306492087 | Stephanie Meeker | Pharmacist | 2150 Chester Blvd, Richmond, IN 47374-1217 | 2019-08-17 |
| 1407369556 | Philip Jan | Pharmacist | 1825 E Marshall St Apt 142, Richmond, VA 23223-7382 | 2017-11-12 |
| 1083126965 | Nan V Julius | Pharmacist | 7603 Forest Ave Ste 209, Richmond, VA 23229-4937 | 2017-10-31 |
| 1467989699 | Brigitte Stolz | Pharmacist | 1201 Broad Rock Blvd Pharmacy Dept 119, Richmond, VA 23249-0001 | 2017-05-18 |
| 1518490374 | Evans Osei Tutu | Pharmacist | 11114 Cornalee Ct, Richmond, TX 77407-1930 | 2017-04-09 |
| Find all providers in RICHMOND | ||||
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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.