WADIM TIMAKOV (NPI# 1598295396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598295396 |
| Entity Type | Individual |
| Full Name | WADIM TIMAKOV |
| Credential | PHARMD |
| Practice Address |
78 White Loaf Rd Southampton MA 01073-9550 |
| Practice Telephone | 8603777613 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0009785 | CT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | PHARMACIST LICENSE | PCT.0009785 | 01 |
| Street Address |
78 WHITE LOAF RD |
| City | SOUTHAMPTON |
| State | MA |
| Zip Code | 01073-9550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942496344 | Southampton Family Dentistry, LLC | Dentist | 4 Line Street, Southampton, MA 01073 | 2007-09-19 |
| 1861616955 | Jerry P Will Sr. | Technician/Technologist | 15 B College Highway, 15 B Southampton Optical, Southampton, MA 01073 | 2007-04-12 |
| 1316013485 | Wendy Dixon | Dentist | 4 Park Ave, Sugarloaf Dental, South Deerfield, MA 01073 | 2006-11-28 |
| 1093854432 | Hans-christoph Beer | Dentist | 16 Pomeroy Meadow Rd, Southampton, MA 01073-0156 | 2007-02-05 |
| 1659304723 | Town of Southampton | Ambulance | 204 College Hwy, Southampton, MA 01073-0428 | 2006-07-09 |
| 1992798383 | Michael Jude Glaiel | Chiropractor | 166 College Hwy, Southampton, MA 01073-9272 | 2005-08-31 |
| 1013463140 | Kelly Bado, O.d. | Optometrist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2016-08-29 |
| 1992302392 | Constant Vision 2020 | Technician/Technologist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2020-10-08 |
| 1205450129 | Yves Constant | Technician/Technologist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2020-06-05 |
| 1043292089 | Mark Albert Bigda | Internal Medicine | 6 Parc Pl, Suite A, Southampton, MA 01073-9277 | 2005-11-16 |
| Find all providers in zip 01073 | ||||
| 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 |
|---|---|---|---|---|
| 1144597345 | Jodi Marie Miguel | Pharmacist | 690 Second Street Pike, Southampton, PA 18966-3943 | 2011-11-16 |
| 1336437862 | Albina Bril | Pharmacist | 4503 Bennett Pl, Southampton, PA 18966-5554 | 2011-07-18 |
| 1295052546 | John Joseph Malizia Sr. | Pharmacist | 410 Second Street Pike, Southampton, PA 18966-3814 | 2010-04-27 |
| 1427374958 | John Joseph Sherbin | Pharmacist | 410 2nd Street Pike, Southampton, PA 18966-3814 | 2010-04-08 |
| 1942532247 | Andrew Henry Kowal | Pharmacist | 153 Pomeroy Meadow Rd, R, Southampton, MA 01073-9331 | 2010-02-11 |
| 1023249711 | Rebecca Dubay | Pharmacist | 14 College Hwy, Southampton, MA 01073-9406 | 2009-07-29 |
| 1043492465 | Marcus R Schilt | Pharmacist | 82 Nugent St, Southampton, NY 11968-4816 | 2007-11-27 |
| 1306827845 | Jane F Gorman | Pharmacist | 219 Noyac Rd, Southampton, NY 11968-1440 | 2005-11-10 |
| 1669097234 | Kathryn Leann Kiker | Pharmacist | 928 Jaymor Rd Ste A200, Southampton, PA 18966-3841 | 2020-06-10 |
| 1629626775 | Michael Gibilante I | Pharmacist | 209 2nd Street Pike, Southampton, PA 18966-3833 | 2019-09-02 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 01073 |
Please comment or provide details below to improve the information on WADIM TIMAKOV.
| 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.