DALE R METCALFE (NPI# 1679566301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679566301 |
| Entity Type | Individual |
| Full Name | DALE R METCALFE |
| Credential | RPH |
| Practice Address |
9205 Corneils Rd Bristol IL 60512-9771 |
| Mailing Address |
Po Box 124 9205 Corneils Road Bristol IL 60512-0124 |
| Practice Telephone | 6305535064 |
| Practice Fax Number | 6305535064 |
| Mailing Telephone | 6305535064 |
| Mailing Fax Number | 6305535064 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| Street Address |
9205 CORNEILS RD |
| City | BRISTOL |
| State | IL |
| Zip Code | 60512-9771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831606789 | Peggy Diane Anderson | Speech-Language Pathologist | 23 Hunt St, Bristol, IL 60512-2003 | 2018-01-01 |
| 1144710997 | Elise Marie Wagner | Occupational Therapist | 23 Hunt St, Bristol, IL 60512-2003 | 2018-05-17 |
| 1366911307 | Tracy Ann Snicker | Behavior Technician | 24 Park Ln, Bristol, IL 60512-9708 | 2018-11-20 |
| 1619046612 | Charlene Rae Sineni | Massage Therapist | 113 Willow Ln, Bristol, IL 60512-9711 | 2006-11-06 |
| 1336218395 | Thomas T Jacobs | Massage Therapist | 113 Willow Ln, Bristol, IL 60512-9711 | 2006-11-06 |
| 1740807932 | Mohr Chiropractic | Chiropractor | 20 N Cannonball Trl, Bristol, IL 60512-9770 | 2020-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911677 | Linda Rich | Social Worker | 100 Alba Dr, Bristol, CT 06010-2601 | 2020-11-01 |
| 1184224859 | Jennifer Shuler Kever | Counselor | 10611 Sr 20, Bristol, FL 32321-3232 | 2020-10-30 |
| 1073113791 | Jamie Lester | Pharmacist | 21531 Market Ctr, Bristol, VA 24202-1808 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1093315319 | Austin Tanner Cain | Behavior Technician | 40245 Sw Forest Road 181, Bristol, FL 32321-5325 | 2020-10-27 |
| 1780284109 | Erika Renea Clark | Occupational Therapy Assistant | 12005 Teakwood Ct, Bristol, VA 24202-3531 | 2020-10-26 |
| 1508465808 | Debbie Cooke Charpentier | Occupational Therapy Assistant | 22 Dwight St, Bristol, CT 06010-4105 | 2020-10-19 |
| 1619576949 | Ileana Graf | Marriage & Family Therapist | 225 N Main St Ste 301, Bristol, CT 06010-4993 | 2020-10-19 |
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1033726906 | Carol G Duprey | Physical Therapist | 89 Fair St, Bristol, CT 06010-5531 | 2020-09-25 |
| Find all providers in BRISTOL | ||||
| 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 |
|---|---|---|---|---|
| 1073113791 | Jamie Lester | Pharmacist | 21531 Market Ctr, Bristol, VA 24202-1808 | 2020-10-30 |
| 1699281113 | Mythili Tarala | Pharmacist | 54 Bonnie Ct, Bristol, CT 06010-5994 | 2017-12-19 |
| 1750897666 | Ray Mcclellan Massengill IIi | Pharmacist | 15767 Monticello Dr, Bristol, VA 24202-4113 | 2017-12-15 |
| 1740703065 | Robert Christopher Isner Jr. | Pharmacist | 430 N Main St Ste A, Bristol, CT 06010-4117 | 2017-07-18 |
| 1033647755 | Alyssa Emily Capuano | Pharmacist | 2 Betsy Dr, Bristol, RI 02809-4552 | 2017-05-24 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1215324611 | George Le | Pharmacist | 90 Maheu St, Bristol, CT 06010-3049 | 2015-04-23 |
| 1457783490 | Amber Lynn Schreiner | Pharmacist | 1 Prince Ln, Bristol, VT 05443-1224 | 2013-08-01 |
| 1306282884 | Penni Anne Cheatle | Pharmacist | 160 Indiana St, Bristol, CT 06010-9138 | 2013-05-10 |
| 1932451473 | Katrina A Yoder | Pharmacist | 300 E Elkhart St, Bristol, IN 46507-9205 | 2012-10-08 |
| Find all providers in BRISTOL | ||||
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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.