MR. THOMAS E KAVANAGH (NPI# 1417087891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417087891 |
| Entity Type | Individual |
| Full Name | MR. THOMAS E KAVANAGH |
| Credential | R.P. |
| Practice Address |
19 S Broad St Nazareth PA 18064-2116 |
| Practice Telephone | 6107593240 |
| Practice Fax Number | 6107460946 |
| Mailing Telephone | 6107593240 |
| Mailing Fax Number | 6107460946 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP030677L | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE | RP030677L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336343722 | Thomas Edward Kavanagh | Psychologist | 50 North Franklin Turnpike, Suite 204, Ho Ho Kus, NJ 07423 | 2007-06-12 |
| 1093832917 | Thomas E. Kavanagh | Dentist | 1417 Marlowe Ave, Lakewood, OH 44107-4318 | 2007-03-24 |
| Street Address |
19 S BROAD ST |
| City | NAZARETH |
| State | PA |
| Zip Code | 18064-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356443642 | Nazareth Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 19 S Broad St, Nazareth, PA 18064-2116 | 2006-09-05 |
| 1619018082 | Nazareth Pharmacy Inc | Pharmacy | 19 S Broad St, Nazareth, PA 18064-2116 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373362 | Eric Scott Klein | Social Worker | 299 Industrial Drive, Nazareth, PA 18064 | 2018-04-19 |
| 1649798067 | Keith Anthony Vanic | Specialist/Technologist | 5992 Kesslersville Road, Nazareth, PA 18064 | 2017-09-06 |
| 1609289206 | Timothy Hicks | Pharmacist | 2155 Oak Rd., Nazareth, PA 18064 | 2014-06-11 |
| 1427200443 | Lois Ann Steward | Occupational Therapist | 5695 Sullivan Trail, Nazareth, PA 18064 | 2008-10-22 |
| 1013137686 | Nadene Serano | Physical Therapy Assistant | Gracedale Nursing, Gracedale Avenue, Nazareth, PA 18064 | 2007-04-26 |
| 1780701896 | Loreley D Stewart | Physical Therapy Assistant | Gracedale Nursing Home, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1548387780 | Shyla Ananda Bhat | Physical Therapy Assistant | Gracedale, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1992820005 | Novie Sol Soluta | Physical Therapist | Gracedale Ave., Gracedale Northampton County Nursing Home, Nazareth, PA 18064 | 2007-03-20 |
| 1336272582 | Danielle Nichole Berg | Occupational Therapist | 2 Gracedale Ave, Gracedale Skilled Nursing Facility, Nazareth, PA 18064 | 2007-03-14 |
| 1083784532 | Barry Merchant | Chiropractor | 106 South Main Street, Nazareth, PA 18064 | 2006-11-09 |
| Find all providers in zip 18064 | ||||
| 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 |
|---|---|---|---|---|
| 1942672332 | Erin Fitzgerald | Pharmacist | 2716 New England Dr, Nazareth, PA 18064-8671 | 2015-10-24 |
| 1609289206 | Timothy Hicks | Pharmacist | 2155 Oak Rd., Nazareth, PA 18064 | 2014-06-11 |
| 1497880728 | Gary Vincent Fields | Pharmacist | 102 Easton Rd, Nazareth, PA 18064-3011 | 2007-02-23 |
| 1336754373 | Michelet Saint-surin | Pharmacist | 102 Easton Rd, Nazareth, PA 18064-3011 | 2020-09-15 |
| 1689964025 | Heather Marie Angeline | Pharmacist | 102 Easton Rd, Nazareth, PA 18064-3011 | 2011-04-19 |
| 1649569476 | Erin Beth Thomasik | Pharmacist | 102 Easton Rd, Nazareth, PA 18064-3011 | 2011-04-01 |
| 1114237781 | Victoria A Judd | Pharmacist | 102 Easton Rd, Nazareth, PA 18064-3011 | 2010-10-18 |
| 1396874749 | Kristin M Baird | Pharmacist | 102 Easton Rd, Nazareth, PA 18064-3011 | 2007-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| 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.