MR. GARY WAYNE SELL (NPI# 1710974399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710974399 |
Entity Type | Individual |
Full Name | MR. GARY WAYNE SELL |
Credential | RPH,CDE |
Practice Address |
333 Manley Heights Rd Orange CT 06477-3028 |
Practice Telephone | 2037954862 |
Practice Fax Number | 2037951924 |
Mailing Telephone | 2037954862 |
Mailing Fax Number | 2037951924 |
Enumeration Date | 2005-09-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
07614 | CT | Pharmacy Service Providers |
Street Address |
333 MANLEY HEIGHTS RD |
City | ORANGE |
State | CT |
Zip Code | 06477-3028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
Find all providers in zip 06477 |
Taxonomy Code | 1835N1003X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Nutrition Support |
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164590915 | Donna Mychaskiw | Pharmacist | 11 Abbott Farm Rd, Middlebury, CT 06762-1213 | 2006-12-01 |
1275192825 | Cynthia M Welchek | Pharmacist | Yale New Haven Hospital, 55 Park Street, New Haven, CT 06511 | 2019-06-07 |
1942403233 | Robert Anthony Quercia | Pharmacist | 80 Seymour St, Hartford, CT 06102-8000 | 2007-06-06 |
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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.