CLIFFORD R BEACH III (NPI# 1740782499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740782499 |
| Entity Type | Individual |
| Full Name | CLIFFORD R BEACH III |
| Credential | RPH |
| Practice Address |
2007 Highway 35 Wall Township NJ 07719-3543 |
| Practice Telephone | 7322821634 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI001595900 | NJ | Pharmacy Service Providers |
| Street Address |
2007 HIGHWAY 35 |
| City | WALL TOWNSHIP |
| State | NJ |
| Zip Code | 07719-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114195799 | Dean J Vanover | Pharmacist | 2007 Highway 35, Wall Township, NJ 07719-3543 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623642 | Augusto Caesar Cespedes Jr. | Nurse Practitioner | 2621 Nj-138, Wall, NJ 07719 | 2020-09-10 |
| 1790306041 | Johnathan Mendez | Chiropractor | 1985 Nj-34, Building A, Wall Township, NJ 07719 | 2020-04-28 |
| 1881226181 | Charles Elmendorf | Occupational Therapist | 1825 Nj-35, Wall, NJ 07719 | 2020-02-05 |
| 1750929873 | Scott Steinez Hyppolite | Chiropractor | 1985 Nj-34 Building A, Wall Township, NJ 07719 | 2019-12-19 |
| 1194204677 | Kelly Anne Cusick | Occupational Therapist | 3349 Highway 138 East, Building B, Suite A, Wall Township, NJ 07719 | 2018-08-07 |
| 1154816395 | Belmar First Aid Squad Incorporated | Ambulance | 414 9th Ave, Belmar, NJ 07719 | 2018-06-29 |
| 1396257739 | Christina Marie Cognetti | Occupational Therapist | 3349 Nj-138, Wall, NJ 07719 | 2017-10-25 |
| 1023555687 | Beth Nardone-troast | Specialist | 3100 Route 138 West, Building 3, Suite 1, Wall Township, NJ 07719 | 2017-01-20 |
| 1356702005 | Stephanie Herenchak | Occupational Therapist | 2500 Ridgewood Rd., Wall, NJ 07719 | 2016-03-09 |
| 1598142523 | Samantha L Cotler | Family Medicine | 1937 Route 35, Wall Township, NJ 07719 | 2015-04-28 |
| Find all providers in zip 07719 | ||||
| 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 |
|---|---|---|---|---|
| 1962011122 | Valeria Cermele | Pharmacist | 1794 Highway 34, Wall Township, NJ 07727 | 2020-07-23 |
| 1679881643 | Deborah Ann Johnson | Pharmacist | 1801 Rte 35, Shop Rite Pharmacy, Wall Township, NJ 07719-3503 | 2010-09-23 |
| 1003148214 | Aimee O'donnell | Pharmacist | 1801 Hwy 35, Wall Township, NJ 07719-3503 | 2010-02-12 |
| 1114195799 | Dean J Vanover | Pharmacist | 2007 Highway 35, Wall Township, NJ 07719-3543 | 2008-02-15 |
| 1366979551 | Joseph Giancola | Pharmacist | 1710 Highway 34, Wall Township, NJ 07727-3906 | 2017-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861214 | Monalben Shah | Pharmacist | 11 Pine Ridge Dr, Edison, NJ 08820-2827 | 2020-11-08 |
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1891396677 | Shivaniben Shah | Pharmacist | 461 Rt 10 A100, Ledgewood, NJ 07852 | 2020-11-06 |
| 1851992606 | Shimaa Amin Amin | Pharmacist | 2801 John F Kennedy Blvd, Jersey City, NJ 07306-5449 | 2020-11-06 |
| 1710588223 | Reema Malkani | Pharmacist | 807 Abbey Ct, Sicklerville, NJ 08081-2405 | 2020-11-03 |
| 1689275166 | Erica Kaczmarczyk | Pharmacist | 106 Conover Rd, Princeton Junction, NJ 08550-3230 | 2020-11-03 |
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1366042053 | Iman M Ahmed | Pharmacist | 383 Washington, Hillsdale, NJ 07642 | 2020-10-30 |
| 1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
| 1730789785 | Jennifer J Wang | Pharmacist | 152 Route 31, Flemington, NJ 08822-5734 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | WALL TOWNSHIP |
| Zip Code | 07719 |
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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.