BRENDA L PETRIE (NPI# 1669704409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669704409 |
| Entity Type | Individual |
| Full Name | BRENDA L PETRIE |
| Credential | RPH |
| Practice Address |
3830 Rome St Pulaski NY 13142-2401 |
| Practice Telephone | 3152985361 |
| Practice Fax Number | 3152981090 |
| Mailing Telephone | 3152985361 |
| Mailing Fax Number | 3152981090 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 047479 | NY | Pharmacy Service Providers |
| Street Address |
3830 ROME ST |
| City | PULASKI |
| State | NY |
| Zip Code | 13142-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265619894 | Susan E Waterman | Pharmacist | 3830 Rome St, Pulaski, NY 13142-2401 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740461904 | William C. Buck | Pharmacist | 4767 Salina Street, Pulaski, NY 13142 | 2007-11-16 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1427189638 | Jay F Sullivan Md PC | Family Medicine | 4882b North Jefferson St, Pulaski, NY 13142 | 2007-03-08 |
| 1932239605 | Angela L Christmas-mattison | Social Worker | 4 Hubble Street, Pulaski, NY 13142 | 2007-03-06 |
| 1912072869 | Jeffery D Ford | Chiropractor | 1 James St, Pulaski, NY 13142 | 2006-11-22 |
| 1518078716 | Smile Factory Inc | Dentist | 20 Bridge Street, Pulaski, NY 13142 | 2006-08-31 |
| 1861426413 | Jay Frederick Sullivan | Family Medicine | 4882b North Jefferson Street, Pulaski, NY 13142 | 2006-07-10 |
| 1710469416 | Megan Lee Phillips | Pharmacist | 3873 Rome Rd, Pulaski, NY 13142 | 2018-08-30 |
| 1689058489 | Podiatry Services of Central New York, PC | Podiatrist | 61 Delano Street, Pulaski, NY 13142 | 2015-07-13 |
| 1922420587 | Dawn Rung | Social Worker | 61 Delano St, Pulaski, NY 13142 | 2014-01-15 |
| Find all providers in zip 13142 | ||||
| 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 |
|---|---|---|---|---|
| 1447621719 | George Pilkinton | Pharmacist | 1670 W College St, Pulaski, TN 38478-5206 | 2015-10-13 |
| 1154790053 | Katherine Nancy Lyndaker | Pharmacist | 20 Scotch Grove Rd Apt 6, Pulaski, NY 13142-4807 | 2015-09-21 |
| 1558654335 | Kimberly Rena White | Pharmacist | 901 Memorial Drive, Walgreens, Pulaski, VA 24301 | 2011-05-26 |
| 1518290790 | Donald J Maute | Pharmacist | 2400 Lee Hwy, Pulaski, VA 14215-3021 | 2009-09-06 |
| 1265619894 | Susan E Waterman | Pharmacist | 3830 Rome St, Pulaski, NY 13142-2401 | 2008-01-25 |
| 1558547471 | Mark Palmer | Pharmacist | 3873 Rome St, Pulaski, NY 13142-2488 | 2008-01-10 |
| 1578746954 | Ann Blake | Pharmacist | 4764 Salina St, Pulaski, NY 13142-4715 | 2007-12-09 |
| 1740461904 | William C. Buck | Pharmacist | 4767 Salina Street, Pulaski, NY 13142 | 2007-11-16 |
| 1982733804 | Michael Alan Alsvig | Pharmacist | 121 North St. Augustine St., Pulaski, WI 54162 | 2007-03-05 |
| 1891394748 | Karen White | Pharmacist | 76 E Main St, Pulaski, VA 24301-5014 | 2020-10-21 |
| Find all providers in PULASKI | ||||
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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.