DIANA BACKLUND (NPI# 1467718114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467718114 |
| Entity Type | Individual |
| Full Name | DIANA BACKLUND |
| Credential | RPH |
| Practice Address |
17 Willow Stream Dr Vernon CT 06066-5935 |
| Practice Telephone | 8608960000 |
| Mailing Telephone | 8608960000 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 20023 | MA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 6575 | CT | Pharmacy Service Providers |
| Street Address |
17 WILLOW STREAM DR |
| City | VERNON |
| State | CT |
| Zip Code | 06066-5935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| 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 |
|---|---|---|---|---|
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1508267261 | Mohamed Mohamed | Pharmacist | 242 Talcottville Rd, Vernon, CT 06066-4631 | 2014-09-11 |
| 1285048710 | Udayan Patel | Pharmacist | 525 Route 515, Vernon, NJ 07462-0041 | 2014-06-12 |
| 1538405303 | Mobolaji Adio | Pharmacist | 142 Vernon Ave, Vernon, CT 06066-3648 | 2012-12-21 |
| 1336498765 | Asha Reddy Thadisina | Pharmacist | 525 County Road 515, Vernon, NJ 07462 | 2012-08-30 |
| 1912297508 | Jesal Patel | Pharmacist | 530 Route 515 Unit 1, Vernon, NJ 07462-3216 | 2011-04-15 |
| 1013236512 | Valerie Lee Thayer | Pharmacist | 525 State Route 515, Vernon, NJ 07462 | 2010-05-24 |
| 1477878056 | Teresa Herren Mobley | Pharmacist | 9574 Highway 18, Vernon, AL 35592-5246 | 2010-04-07 |
| 1528396405 | Adam Bayer | Pharmacist | 1015 Hillcrest Dr Ste B, Vernon, TX 76384-3194 | 2009-12-03 |
| 1932377421 | Robert Henry Stackpole Jr. | Pharmacist | 530 Route 515, Unit 1, Vernon, NJ 07462-3215 | 2008-02-18 |
| Find all providers in VERNON | ||||
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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.