GREGORY RUBEN WHITTLE (NPI# 1487907432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487907432 |
Entity Type | Individual |
Full Name | GREGORY RUBEN WHITTLE |
Credential | RPH |
Practice Address |
2424 N Ocoee St Cleveland TN 37311-3854 |
Practice Telephone | 4234737874 |
Practice Fax Number | 4234737211 |
Mailing Telephone | 4234737874 |
Mailing Fax Number | 4234737211 |
Enumeration Date | 2012-10-16 |
Last Update Date | 2012-10-16 |
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 |
6745 | TN | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
13589 | GA | Pharmacy Service Providers |
Street Address |
2424 N OCOEE ST |
City | CLEVELAND |
State | TN |
Zip Code | 37311-3854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922121110 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2424 N Ocoee St, Cleveland, TN 37311-3854 | 2007-04-10 |
1295361988 | David Charles Hamill | Pharmacist | 2424 N Ocoee St, Cleveland, TN 37311-3854 | 2020-03-13 |
1023505245 | Marissa Lyn Withrow | Nurse Practitioner | 2424 N Ocoee St, Cleveland, TN 37311 | 2018-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
Find all providers in zip 37311 |
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 |
---|---|---|---|---|
1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
1346893948 | Amanda Szczepanik | Pharmacist | 11100 Euclid Ave # B400, Cleveland, OH 44106-1716 | 2019-07-23 |
1326600396 | Abdallah Abukhalil | Pharmacist | 7905 Euclid Ave, Cleveland, OH 44103-4226 | 2019-07-01 |
1376884056 | Catherine Marie Cappetto | Pharmacist | 18101 Lorain Ave., Cleveland, OH 44111 | 2013-03-06 |
1699388355 | Pavithra Srinivas | Pharmacist | 9500 Euclid Ave # Hb-105, Cleveland, OH 44195-0001 | 2020-08-24 |
1083223747 | Natasa Zivak | Pharmacist | 3929 Rocky River Dr, Cleveland, OH 44111-4153 | 2020-07-29 |
1093331845 | Alyssa Curtis | Pharmacist | 16100 Lake Shore Blvd, Cleveland, OH 44110-1001 | 2020-06-17 |
1407482714 | Samantha Loutzenheiser | Pharmacist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-03-18 |
1821646852 | Brett Bushong | Pharmacist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-09-03 |
1619524121 | Jason Makii | Pharmacist | 11100 Euclid Ave, Mather B400, Cleveland, OH 44106 | 2019-08-20 |
Find all providers in CLEVELAND |
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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.