TIMOTHY A BLACK (NPI# 1437384740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437384740 |
| Entity Type | Individual |
| Full Name | TIMOTHY A BLACK |
| Credential | R.PH. |
| Practice Address |
211 E Main St Everett PA 15537-1211 |
| Mailing Address |
243 E 2nd St Everett PA 15537-1234 |
| Practice Telephone | 8146522052 |
| Mailing Telephone | 8146522250 |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2009-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP037295L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528508165 | Timothy Black | Pharmacist | 322 Camino San Clemente, San Clemente, CA 92672-3704 | 2017-03-01 |
| 1700230737 | Timothy Scott Black | Social Worker | 9304 Forest Ln, Suite 161 North, Dallas, TX 75243-6238 | 2016-04-15 |
| 1689830523 | Timothy Black | Counselor | 499 Cooper Landing Rd, Cherry Hill, NJ 08002-2504 | 2008-07-30 |
| 1578753091 | Timothy Roger Black | Podiatrist | 3652 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2007-07-31 |
| 1720092307 | Timothy R. Black | Physician Assistant | 709 Middle Creek Rd, Sevierville, TN 37862-5047 | 2006-07-28 |
| 1043270978 | Timothy E Black | Anesthesiology | 1500 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2006-03-24 |
| 1730167271 | Timothy Black | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 | 2006-01-05 |
| 1669453940 | Timothy L Black | Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-11-14 |
| Street Address |
211 E MAIN ST |
| City | EVERETT |
| State | PA |
| Zip Code | 15537-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053824227 | Ian Housel | Pharmacist | 211 E Main St, Everett, PA 15537-1211 | 2017-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914469 | Peggy V Steinbrunner | Counselor | 16 Water Street, Ste 101, Everett, PA 15537 | 2008-06-05 |
| 1639274996 | Philip Kucas | Physician Assistant | 227 Hospital Drive, Suite 1, Everett, PA 15537 | 2006-09-13 |
| 1114029154 | Darryl Keef Warner | Chiropractor | 201 Hospital Dr, Suite 2, Everett, PA 15537 | 2006-09-01 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| 1710916556 | Raystown Ambulance Service Inc | Ambulance | 4 East South Street, Everett, WA 15537 | 2006-07-02 |
| 1821031931 | Stephen E Mccombie | Optometrist | 34 Bedford Square, Everett, PA 15537 | 2006-06-14 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1780607168 | Elliott Bilofsky Do PC | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1013930387 | Dana Marie Harris | Physician Assistant | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1659347847 | George Michael Zubak | Specialist | 300 N Spring St, Everett, PA 15537-1011 | 2006-02-27 |
| Find all providers in zip 15537 | ||||
| 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 |
|---|---|---|---|---|
| 1982211090 | Paul Vu | Pharmacist | 72 Winslow St, Everett, MA 02149-2112 | 2020-09-23 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1609438035 | Samuel Choi | Pharmacist | 4920a Evergreen Way, Everett, WA 98203-2827 | 2019-07-05 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1356855662 | Jonathan Phong Pham | Pharmacist | 10404 27th Dr Se, Everett, WA 98208-4465 | 2017-11-22 |
| 1497273528 | Mtm Clinical Care Rx | Pharmacist | 620 Se Everett Mall Way Ste 210b, Everett, WA 98208-3249 | 2017-09-09 |
| 1497278535 | Michael David Lawrence | Pharmacist | 1800 41st St Ste S-400, Everett, WA 98203-2355 | 2017-07-20 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1396292975 | Aisa Hodzic | Pharmacist | 11 Bellingham Ave, Everett, MA 02149-1218 | 2016-09-01 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| Find all providers in EVERETT | ||||
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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.