MR. GREGG MICHAEL SMITH (NPI# 1740558808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740558808 |
| Entity Type | Individual |
| Full Name | MR. GREGG MICHAEL SMITH |
| Credential | R.PH. |
| Practice Address |
4 Neshaminy Interplex Dr Suite 111 Trevose PA 19053-6944 |
| Mailing Address |
2014 Serenity St Schwenksville PA 19473-2070 |
| Practice Telephone | 2156396162 |
| Mailing Telephone | 6105841083 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2015-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP040437R | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073591277 | Gregg W. Smith | Dentist | 2186 N Hospital Blvd Ste 1, Sullivan, IN 47882-7654 | 2006-01-06 |
| 1003803925 | Gregg Alan Smith | Internal Medicine | 1042 N Higley Rd, Suite 102-602, Mesa, AZ 85205-5398 | 2005-10-05 |
| 1770575250 | Gregg A Smith | Dentist | 3912 E 31st Pl, Tulsa, OK 74135-1630 | 2005-08-19 |
| 1487816658 | Gregg T Smith | Nurse Practitioner | 3601 S 6th Ave, Tucson, AZ 85723-2704 | 2008-06-30 |
| 1518096734 | Gregg Leslie Smith | Dentist | 1301 Main St, Asbury Park, NJ 07712-5359 | 2007-03-05 |
| 1174628804 | Gregg Lewis Smith | Internal Medicine | 550 E Washington Blvd, Suite 100, Crescent City, CA 95531-8160 | 2006-09-14 |
| Street Address |
4 NESHAMINY INTERPLEX DR SUITE 111 |
| City | TREVOSE |
| State | PA |
| Zip Code | 19053-6944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629534862 | Jeannette Mahieu | Behavioral Analyst | 4 Neshaminy Interplex Dr, Trevose, PA 19053-6944 | 2019-02-12 |
| 1982130407 | Holly Mahal | Behavioral Analyst | 4 Neshaminy Interplex Dr, Suite 202, Trevose, PA 19053-6944 | 2017-05-03 |
| 1083164644 | Luciana Genevieve Mayo | Assistant Behavior Analyst | 4 Neshaminy Interplex Dr, Suite 202, Trevose, PA 19053-6944 | 2016-10-07 |
| 1144778333 | Katherine Bascom | Behavioral Analyst | 4 Neshaminy Interplex Dr, Suite 202, Trevose, PA 19053-6944 | 2016-09-15 |
| 1962955757 | Kia Lacy | Behavioral Analyst | 4 Neshaminy Interplex Dr, Suite 202, Trevose, PA 19053-6944 | 2016-07-27 |
| 1699152769 | Daniel Gregory Rowan | Psychologist | 4 Neshaminy Interplex Dr, Trevose, PA 19053-6944 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
| 1881181410 | Linda S Linden | Massage Therapist | 333 Steele Rd, Feasterville, PA 19053 | 2018-04-19 |
| 1336671619 | Marsela Ismailanji | Behavioral Analyst | 4 Neshaminy Interplex Drive, Suite 202, Trevose, PA 19053 | 2017-03-28 |
| 1194189019 | Kathleen A Gant | Nurse Practitioner | 4829 Street Rd, Trevose, PA 19053 | 2016-04-06 |
| 1801263165 | Kristi Ann Wert | Nurse Practitioner | 4829 E. Street Rd, Trevose, PA 19053 | 2015-08-21 |
| 1841675113 | Marlene Lisa Levis | Pharmacist | 176 West Street Road, Feasterville, PA 19053 | 2015-07-28 |
| 1578802229 | Colleen Joan Garneau | Registered Nurse | 2500 N Gate Rd, Trevose, PA 19053 | 2013-01-31 |
| 1225306376 | Michael J Fanelli | Pharmacist | 2 E. Street Rd, Feasterville, PA 19053 | 2011-12-05 |
| 1053689125 | Yuliya Peskin | Pharmacist | 2 E Street Road, Walgreens, Feasterville, PA 19053 | 2011-12-05 |
| 1891000584 | Justin T Jiunta | Physical Therapist | 1040 Mill Creek Drive, Feasterville, PA 19053 | 2010-08-18 |
| Find all providers in zip 19053 | ||||
| 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 |
|---|---|---|---|---|
| 1992369185 | Christopher S Macumber | Pharmacist | 4636 Somerton Rd Ste C, Trevose, PA 19053-6742 | 2019-04-24 |
| 1679847958 | Jack A. Kennedy | Pharmacist | 4924 Somers Ave, Trevose, PA 19053-4863 | 2012-03-03 |
| 1003108796 | Ramagopal Vudathu | Pharmacist | 3800 Horizon Blvd Ste 103, Trevose, PA 19053-4968 | 2011-05-12 |
| 1477875516 | David M Zdun | Pharmacist | 2546 Metropolitan Dr, Trevose, PA 19053-6738 | 2010-02-16 |
| 1447851779 | Mammen Cherian Vaidian | Pharmacist | 3461 Horizon Blvd, Trevose, PA 19053-4967 | 2020-11-03 |
| 1003391640 | Logan Huang | Pharmacist | 1860 Brownsville Rd, Trevose, PA 19053-3502 | 2018-09-29 |
| 1740637529 | Rachel Jonas | Pharmacist | 1860 Brownsville Rd, Trevose, PA 19053-3502 | 2016-05-20 |
| 1417153743 | William Phillip Fair | Pharmacist | 4800 E Street Rd, Trevose, PA 19053-6646 | 2007-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.