LAWRENCE NIVEN GARDNER (NPI# 1710469747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710469747 |
| Entity Type | Individual |
| Full Name | LAWRENCE NIVEN GARDNER |
| Credential | RPH |
| Practice Address |
875 Bridgeport Ave Shelton CT 06484-4621 |
| Mailing Address |
442 Toilsome Hill Rd Fairfield CT 06825-1627 |
| Practice Telephone | 2039294597 |
| Practice Fax Number | 2039295309 |
| Mailing Telephone | 2033365759 |
| Mailing Fax Number | 2039295309 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5377 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891826855 | Lawrence James Gardner | Student in an Organized Health Care Education/Training Program | 2602 North Floyd Road, Ab 10, Richardson, TX 75080 | 2007-03-08 |
| 1659443273 | Lawrence Jeremy Gardner | Dentist | 130 Union Ave, Manasquan, NJ 08736-3636 | 2006-11-15 |
| 1619991684 | Lawrence Gardner | Social Worker | 88 Red Pine Est, Morrisville, VT 05661-8580 | 2006-07-26 |
| 1578528097 | Lawrence D Gardner | Surgery | 2337 Prometheus Ct, Henderson, NV 89074-5339 | 2006-04-18 |
| 1760759054 | Lawrence Christopher Gardner | Counselor | 1027 E Burnside St, Portland, OR 97214-1328 | 2011-11-30 |
| 1972653632 | Lawrence W Gardner Jr. | Internal Medicine | 708 Del Prado Blvd, Cape Coral, FL 33990-5616 | 2007-01-12 |
| 1215911516 | Lawrence Gale Gardner | Otolaryngology | 1501 Kings Hwy, Otolaryngology/hns, Shreveport, LA 71103-4228 | 2005-12-01 |
| Street Address |
875 BRIDGEPORT AVE |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649226036 | Shaws Supermarkets Inc | Pharmacy | 875 Bridgeport Ave, Shelton, CT 06484-4621 | 2006-05-26 |
| 1912220906 | Grade A Shop Rite of Shelton LLC | Pharmacy | 875 Bridgeport Ave, Shelton, CT 06484-4621 | 2010-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| 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 |
|---|---|---|---|---|
| 1003420340 | Katie Ann Laskin | Pharmacist | 100 Trap Falls Road Ext, Shelton, CT 06484-4646 | 2020-09-03 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1346734639 | Anthony Piaty | Pharmacist | 35 Hearthstone Dr, Shelton, CT 06484-2439 | 2018-06-19 |
| 1427555697 | Andrew Thibeault | Pharmacist | 512 W Franklin St, Shelton, WA 98584-3517 | 2018-04-12 |
| 1235683012 | Robert T Ferrante | Pharmacist | 38 Birchbank Rd, Shelton, CT 06484-1720 | 2016-08-09 |
| 1841743358 | Simon Tam | Pharmacist | 700 Bridgeport Ave # 101, Shelton, CT 06484-4734 | 2016-08-01 |
| 1528479441 | Edward A Boulanger | Pharmacist | 23 Rouleau Ln, Shelton, CT 06484-5752 | 2014-05-13 |
| 1235487240 | Katherine Jacob | Pharmacist | 10 Gene Dr, Shelton, CT 06484-5733 | 2012-08-22 |
| 1043580566 | Uzma Naheed Zakir | Pharmacist | 8 Birdseye Road Ext, Shelton, CT 06484-2140 | 2012-01-02 |
| 1477820678 | Paul Bukowski | Pharmacist | 700 Bridgeport Ave Ste 101, Shelton, CT 06484-4734 | 2011-11-17 |
| Find all providers in SHELTON | ||||
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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.