MR. KENNETH JAMES DEBAUN (NPI# 1619295656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619295656 |
| Entity Type | Individual |
| Full Name | MR. KENNETH JAMES DEBAUN |
| Credential | RPH |
| Practice Address |
3 Marshall Hill Rd West Milford NJ 07480-2144 |
| Practice Telephone | 9737288000 |
| Practice Fax Number | 9737288326 |
| Mailing Telephone | 9737288000 |
| Mailing Fax Number | 9737288326 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI01689900 | NJ | Pharmacy Service Providers |
| Street Address |
3 MARSHALL HILL RD |
| City | WEST MILFORD |
| State | NJ |
| Zip Code | 07480-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346765088 | Walgreen Co | Pharmacy | 3 Marshall Hill Rd, West Milford, NJ 07480-2144 | 2017-08-03 |
| 1235459728 | Danielle Struble | Pharmacist | 3 Marshall Hill Rd, West Milford, NJ 07480-2144 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649711276 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 213 La Rue Road, West Milford, NJ 07480 | 2017-03-15 |
| 1861872897 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 Bissett Drive, West Milford, NJ 07480 | 2015-06-04 |
| 1447549175 | Janice Claire Darien | Massage Therapist | 1614-0 Union Valley Rd., Sutie #131, West Miford, NJ 07480 | 2011-04-04 |
| 1063642478 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1502 Union Valley Rd, West Milford, NJ 07480 | 2009-07-20 |
| 1467670638 | Paul Anthony Babitz | Chiropractor | 2024 Macopin Rd Ste E, West Milford, NJ 07480 | 2007-04-23 |
| 1528100906 | Patricia J Clune | Social Worker | 78 Tintle Ave, West Milford, NJ 07480 | 2007-02-13 |
| 1376625046 | Chester Mark Golembiewski | Chiropractor | 996 Union Valley Rd., West Milford, NJ 07480 | 2006-10-20 |
| 1205926698 | West Milford Wellness Center P.C. | Chiropractor | 1616 Union Valley Road, Suite 102 A, West Milford, NJ 07480 | 2006-10-13 |
| 1255469904 | Timothy E Simpson | Internal Medicine | 920 Main Street, Hackensack, NJ 07480 | 2007-03-02 |
| 1306182936 | Arielle Parsons | Speech-Language Pathologist | 27 Monmouth Ave, West Milford, NJ 07480-1144 | 2013-01-01 |
| Find all providers in zip 07480 | ||||
| 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 |
|---|---|---|---|---|
| 1780845776 | Steven Kim | Pharmacist | 2 Richmond Rd Apt 321, West Milford, NJ 07480-1993 | 2008-06-23 |
| 1417003302 | George J Perchak | Pharmacist | 51 Continental Rd, West Milford, NJ 07480-1818 | 2007-01-25 |
| 1093185571 | John Guercio | Pharmacist | 179 Cahill Cross Rd, West Milford, NJ 07480-1988 | 2015-09-28 |
| 1740672690 | Martin Thyvalappil | Pharmacist | 197 Cahill Cross Rd, 316, West Milford, NJ 07480-1947 | 2015-03-02 |
| 1316215973 | John C. Wesdyk | Pharmacist | 1495 Union Valley Rd, West Milford, NJ 07480-1361 | 2011-12-09 |
| 1356626717 | Nikolina N Paskoski | Pharmacist | 1502 Union Valley Rd, West Milford, NJ 07480-1354 | 2011-10-18 |
| 1558645119 | Nicole Kilpatrick | Pharmacist | 1502 Union Valley Rd, West Milford, NJ 07480-1354 | 2011-09-30 |
| 1255630331 | Liliana Bosefski | Pharmacist | 1502 Union Valley Rd, West Milford, NJ 07480-1354 | 2011-03-15 |
| 1235459728 | Danielle Struble | Pharmacist | 3 Marshall Hill Rd, West Milford, NJ 07480-2144 | 2010-06-07 |
| 1457679078 | Evelyn Fernandez | Pharmacist | 179 Cahill Cross Rd, Suite 316, West Milford, NJ 07480-1988 | 2010-05-06 |
| Find all providers in WEST MILFORD | ||||
| City | WEST MILFORD |
| Zip Code | 07480 |
Please comment or provide details below to improve the information on MR. KENNETH JAMES DEBAUN.
| 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.