DR. IGOR V PETRENKO (NPI# 1730452434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730452434 |
| Entity Type | Individual |
| Full Name | DR. IGOR V PETRENKO |
| Credential | PHARMD. |
| Practice Address |
1070 W Landis Ave Vineland NJ 08360-3422 |
| Mailing Address |
4255 Mays Ave Vineland NJ 08361-7969 |
| Practice Telephone | 8562059354 |
| Mailing Telephone | 6093644087 |
| Enumeration Date | 2012-02-12 |
| Last Update Date | 2012-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03427200 | NJ | Pharmacy Service Providers |
| Street Address |
1070 W LANDIS AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326283540 | Wal-mart Stores East Lp | Pharmacy | 1070 W Landis Ave, Vineland, NJ 08360-3422 | 2008-12-03 |
| 1659617629 | William Land | Hearing Instrument Specialist | 1070 W Landis Ave, Vineland, NJ 08360-3422 | 2012-12-20 |
| 1396081378 | Ronald N Kittner | Hearing Instrument Specialist | 1070 W Landis Ave, Vineland, NJ 08360-3422 | 2012-12-20 |
| 1649516626 | Rebecca Bonham | Hearing Instrument Specialist | 1070 W Landis Ave, Vineland, NJ 08360-3422 | 2012-12-20 |
| 1841536810 | Michael A Romanini | Hearing Instrument Specialist | 1070 W Landis Ave, Vineland, NJ 08360-3422 | 2012-12-20 |
| 1407192420 | Dianna L Mcdonald | Hearing Instrument Specialist | 1070 W Landis Ave, Vineland, NJ 08360-3422 | 2012-12-19 |
| 1083965156 | Stephanie Gervato-fauver | Hearing Instrument Specialist | 1070 W Landis Ave, Vineland, NJ 08360-3422 | 2012-09-28 |
| 1467724674 | Crystal Wallace | Pharmacist | 1070 W Landis Ave, Vineland, NJ 08360-3422 | 2012-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| 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 |
|---|---|---|---|---|
| 1841738853 | Steven Nguyen | Pharmacist | 696 Main Rd, Vineland, NJ 08360-1815 | 2017-02-09 |
| 1346668290 | Gary Glatfelter | Pharmacist | 3237 Swan Dr, Vineland, NJ 08361-7385 | 2014-03-28 |
| 1871841742 | Susan Reuss Martine | Pharmacist | 2026 E Landis Ave, Vineland, NJ 08361-2961 | 2012-08-26 |
| 1831407220 | Lamin G. Ngobeh | Pharmacist | # 7 West Landis Ave, Rite Aid Pharmacy, Vineland, NJ 08360 | 2010-09-20 |
| 1588970461 | Steven Howard Levitsky | Pharmacist | 2791 S Delsea Dr, Vineland, NJ 08360-7079 | 2010-08-30 |
| 1790091742 | Alton Tyrone Chatmon Sr. | Pharmacist | 515 E Landis Ave, Vineland, NJ 08360-8003 | 2010-08-27 |
| 1699080226 | John Platanella Jr. | Pharmacist | 1889 South Lincoln Ave., Rite Aid #10490, Vineland, NJ 08361 | 2010-08-06 |
| 1326352022 | Brian L Kelley | Pharmacist | 970 N Main Rd, Vineland, NJ 08360-8266 | 2010-08-05 |
| 1376856740 | Stefanie Emanuel | Pharmacist | 1889 S Lincoln Ave, Vineland, NJ 08361-7286 | 2010-07-14 |
| 1215249172 | Dominick R Sinatra | Pharmacist | 3534 Venturi Ln, Vineland, NJ 08361-8679 | 2010-07-08 |
| Find all providers in VINELAND | ||||
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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.