FALLON CALLAHAN (NPI# 1609358050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609358050 |
Entity Type | Individual |
Full Name | FALLON CALLAHAN |
Practice Address |
136 Samson Rock Drive Madison CT 06413 |
Mailing Address |
63 Beech Tree Ridge Killingworth CT 06419 |
Practice Telephone | 2032457467 |
Enumeration Date | 2018-09-02 |
Last Update Date | 2018-09-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PCT.0014578 | CT | Pharmacy Service Providers |
Street Address |
136 SAMSON ROCK DRIVE |
City | MADISON |
State | CT |
Zip Code | 06413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659814366 | A Behavioral Apporach | Behavioral Analyst | 4 Laconia Dr, Clinton, CT 06413 | 2016-11-29 |
1255786638 | The Vogl Program | Early Intervention Provider Agency | 15 Hammock Pkwy, Clinton, CT 06413 | 2016-05-04 |
1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
1306067624 | Julia S Tucker | Marriage & Family Therapist | 162 B East Main Street, Clinton, CT 06413 | 2007-05-02 |
1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
1215099411 | Edward I Winokur Md | Family Medicine | 27 Commerce Street, Clinton, CT 06413 | 2006-12-14 |
1366518904 | Catherine L Alder | Social Worker | 12 Bargate Road, Clinton, CT 06413 | 2006-11-27 |
1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
1528171675 | Arthur Edward Wilk Jr. | Dentist | 34 West Main St, Clinton, CT 06413 | 2006-08-15 |
Find all providers in zip 06413 |
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] |
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1801415641 | Genesee Fernandez | Pharmacist | 170 Sagebrook Dr, Madison, AL 35757-7684 | 2020-04-12 |
1417583568 | Kimberly Maerz | Pharmacist | 6701 Mineral Point Rd, Madison, WI 53705-4241 | 2020-03-20 |
1942845896 | Nikita Jain | Pharmacist | 857 Durham Rd, Madison, CT 06443-1827 | 2019-11-14 |
1437704939 | Morgan A Wynes | Pharmacist | 600 Highland Ave # F6160, Madison, WI 53792-0001 | 2019-08-02 |
1467005322 | Elisa Rowland | Pharmacist | 12070 County Line Rd Ste C, Madison, AL 35756-2000 | 2019-07-19 |
1669034849 | Jessica Chmielinski | Pharmacist | 2500 Overlook Ter Dept 119, Madison, WI 53705-2254 | 2019-07-08 |
1265903702 | Steven Michael Dixon | Pharmacist | 41 Chestnut Hill Rd, Madison, CT 06443-1816 | 2018-12-10 |
1932695194 | Ana Maria Felicia Bienvenida | Pharmacist | Pharmacy Services 600 Highland Ave, Madison, WI 53792-0001 | 2018-07-10 |
Find all providers in MADISON |
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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.