DR. JUDE THADDEUS SHEETS (NPI# 1467712083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467712083 |
Entity Type | Individual |
Full Name | DR. JUDE THADDEUS SHEETS |
Credential | PHARMD, RPH. |
Practice Address |
450 Stewart Ln Triadelphia WV 26059-1020 |
Practice Telephone | 3045471950 |
Practice Fax Number | 3045471983 |
Mailing Telephone | 3045471950 |
Mailing Fax Number | 3045471983 |
Enumeration Date | 2012-05-17 |
Last Update Date | 2020-11-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | MA.2121 | LA | Pharmacy Service Providers |
N | 183500000X | Pharmacist | RPI007312 | PA | Pharmacy Service Providers |
N | 183500000X | Pharmacist | RP447601 | PA | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 03132561 | OH | Pharmacy Service Providers |
N | 183500000X | Pharmacist | PST.020108 | LA | Pharmacy Service Providers |
N | 183500000X | Pharmacist | RP0008059 | WV | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | LA BOARD OF PHARMACY | PST.020108 | 01 |
OH | OH BOARD OF PHARMACY | 03132561 | 01 |
PA | PA BOARD OF PHARMACY | RPI007312 | 01 |
PA | PA BOARD OF PHARMACY | RP447601 | 01 |
LA | LA BOARD OF PHARMACY | MA.2121 | 01 |
WV | WV BOARD OF PHARMACY | RP0008059 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
50739 Valley Plaza Dr, Saint Clairsville, OH 439501751 | 7406958413 | 7406958415 |
Street Address |
450 STEWART LN |
City | TRIADELPHIA |
State | WV |
Zip Code | 26059-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609965292 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2006-10-12 |
1770184749 | Aric Beihl | Pharmacist | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2020-11-05 |
1326127937 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2006-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871104828 | Theodora Ferrell | Case Manager/Care Coordinator | 4681 Dallas Pike, Triadelphia, WV 26059 | 2020-08-13 |
1205226867 | Regina Demasi | Nurse Practitioner | 2596 Battle Run Road, Triadelphia, WV 26059 | 2015-02-03 |
1912192428 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 515 Cabela Dr, Triadelphia, WV 26059 | 2007-09-07 |
1053415422 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 22 National Rd, Triadelphia, WV 26059 | 2006-09-07 |
1144423385 | Triadelphia Volunteer Fire Department Inc | Ambulance | 292 National Road, Triadelphia, WV 26059-0015 | 2007-06-06 |
1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
1326121955 | West Virginia Cvs Pharmacy LLC | Pharmacy | 300 Cabela Dr, Triadelphia, WV 26059-1023 | 2006-10-24 |
1659668549 | Jodee Lynne Weghorst | Pharmacist | 300 Cabela Dr, T-2231, Triadelphia, WV 26059-1023 | 2011-06-30 |
1013201011 | Lisa Miehle | Pharmacist | 300 Cabela Dr, T2231 Pharmacy, Triadelphia, WV 26059-1023 | 2011-06-07 |
1548272388 | Ronald J Murphy | Physician Assistant | 502 Cabela Dr, Triadelphia, WV 26059-1044 | 2006-08-12 |
Find all providers in zip 26059 |
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 |
---|---|---|---|---|
1770184749 | Aric Beihl | Pharmacist | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2020-11-05 |
1659668549 | Jodee Lynne Weghorst | Pharmacist | 300 Cabela Dr, T-2231, Triadelphia, WV 26059-1023 | 2011-06-30 |
1013201011 | Lisa Miehle | Pharmacist | 300 Cabela Dr, T2231 Pharmacy, Triadelphia, WV 26059-1023 | 2011-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
1700486156 | Dylan Tomblin | Pharmacist | 100 Buckhannon Xrds, Buckhannon, WV 26201-8422 | 2020-10-27 |
1134729643 | Cassie Lynch | Pharmacist | 148 Walmart Dr, Keyser, WV 26726-1805 | 2020-10-26 |
1417557992 | Gregory Spencer Glover | Pharmacist | 1976 Jefferson St N, Lewisburg, WV 24901-2209 | 2020-10-26 |
1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
Find all providers with the same taxonomy |
City | TRIADELPHIA |
Zip Code | 26059 |
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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.