MR. HARRY A. THIBODEAU (NPI# 1437152071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437152071 |
| Entity Type | Individual |
| Full Name | MR. HARRY A. THIBODEAU |
| Credential | R.PH. |
| Practice Address |
136 Central Ave Clark NJ 07066-1142 |
| Mailing Address |
136 Central Ave Pharma-care, Inc. Clark NJ 07066-1142 |
| Practice Telephone | 7325749015 |
| Practice Fax Number | 7324996778 |
| Mailing Telephone | 7325749015 |
| Mailing Fax Number | 7324996778 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2010-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
28RI01573300 | NJ | Pharmacy Service Providers |
| Street Address |
136 CENTRAL AVE |
| City | CLARK |
| State | NJ |
| Zip Code | 07066-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051564 | Richard Edward Corritore Jr. | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2005-05-23 |
| 1093236424 | Vy Thuc Wu | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2017-07-06 |
| 1164604336 | Edward Thomas Curtin | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2007-11-29 |
| 1366637282 | Nancy Ismail | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2007-09-13 |
| 1629109327 | Amit Gupta | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2007-03-07 |
| 1871564310 | Pharma-care, Inc. | Pharmacy | 136 Central Ave, Clark, NJ 07066-1142 | 2006-02-01 |
| 1477533743 | Jacob Nathan Rozencwaig | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2006-01-20 |
| 1902892144 | Edward Michael Rucki | Pharmacist | 136 Central Ave, Clark, NJ 07066-1142 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491493 | Diane Juanita Pearson | Counselor | 49 Brant Ave Suit 3, Massler Psychological Associates, Clark, NJ 07066 | 2019-01-22 |
| 1356831754 | Christopher Dasilva | Physical Therapist | 77 Brant Avenue, Suite 101, Clark, NJ 07066 | 2018-05-11 |
| 1205350030 | City Medical of New Jersey, PC | Clinic/Center | Rarity Unit F4b, 1225 Raritan Road, Clark, NJ 07066 | 2017-08-02 |
| 1184150682 | Fyzical Therapy & Balance Center | Physical Therapist | 132-1 Westfield Ave, Clark, NJ 07066 | 2017-05-04 |
| 1164829826 | Adavanced Spine Rehabilitation LLC | Chiropractor | 1171 Old Raritan Rd, Clark, NJ 07066 | 2014-11-24 |
| 1083838395 | Stephen D Bosonac | Dentist | 979 Raritan Road, Clark, NJ 07066 | 2007-04-11 |
| 1972637965 | Jay Andrew Paris | Chiropractor | 67 Westfield Ave, Clark, NJ 07066 | 2007-03-14 |
| 1821121484 | David Kinley Jr. | Acupuncturist | 668 Raritan Rd, Clark, NJ 07066 | 2007-03-13 |
| 1811036122 | Betty C Mclendon | Psychologist | 623 Raritan Road, Clark, NJ 07066 | 2007-02-05 |
| 1710039623 | Cornerstone Physical Therapy Inc | Physical Therapist | 152 Central Ave 2nd Floor, Clark, NJ 07066 | 2007-01-18 |
| Find all providers in zip 07066 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958856 | Pavan K Parimi | Pharmacist | 40 Spruce Meadows Dr, Monroe Township, NJ 08831-3103 | 2020-06-30 |
| 1841814837 | Jibi Philip | Pharmacist | 186 Larch Ave, Dumont, NJ 07628-1327 | 2020-06-04 |
| 1154804185 | Christopher Manuel Bregna | Pharmacist | 60 Fairview Dr, East Hanover, NJ 07936-3508 | 2018-09-14 |
| 1104308121 | Mahwish Zafar | Pharmacist | 1726 Route 37 E, Toms River, NJ 08753-8237 | 2018-09-06 |
| 1386126118 | Panagiota Kousoulis | Pharmacist | 41 Spring St, New Providence, NJ 07974-1143 | 2018-08-29 |
| 1619470606 | Dina Minisi | Pharmacist | 57 Harrowgate Dr, Cherry Hill, NJ 08003-1938 | 2018-03-15 |
| 1720509888 | Sandra Sparta | Pharmacist | 66 Claire Dr, Bridgewater, NJ 08807-1854 | 2017-06-29 |
| 1205377272 | Glatz Rx Consultants LLC | Pharmacist | 54 Broken Arrow Road, Medford, NJ 08055 | 2017-03-10 |
| 1255871745 | Charles W Glatz | Pharmacist | 54 Broken Arrow Bend, Medford, NJ 08055 | 2017-03-02 |
| 1669917613 | Legendary Care Consulting | Pharmacist | 19 Amelia St, North Caldwell, NJ 07006-4155 | 2016-12-30 |
| 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.