AMBER L JERAULD (NPI# 1801099437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801099437 |
| Entity Type | Individual |
| Full Name | AMBER L JERAULD |
| Other Name | AMBER L CRONK |
| Credential | PHARMD |
| Practice Address |
4417 Vestal Pkwy E Vestal NY 13850-3556 |
| Practice Telephone | 6077707365 |
| Practice Fax Number | 6072402984 |
| Mailing Telephone | 6077707365 |
| Mailing Fax Number | 6072402984 |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RP440432 | PA | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
061501 | NY | Pharmacy Service Providers |
| Street Address |
4417 VESTAL PKWY E |
| City | VESTAL |
| State | NY |
| Zip Code | 13850-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321529 | Dennis Perenyi | Obstetrics & Gynecology | 4417 Vestal Pkwy E, Ob/gyn, Vestal, NY 13850-3556 | 2005-07-28 |
| 1922606110 | Brittany Wingerter | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-10-12 |
| 1851903215 | Kwamia Sanford | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-08-18 |
| 1316571326 | Jamie Pastrick | Physical Therapist | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-02-28 |
| 1215595129 | Sarah Elizabeth Park | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-06-05 |
| 1275199416 | Diana Wobbe | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-05-14 |
| 1760945596 | Danielle Deyo | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-04-09 |
| 1801357447 | Michael Lane | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-03-27 |
| 1376011536 | Shelby Carver | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-11-06 |
| 1497221071 | Julia Munteanu | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018800 | Debbie Sue Maerz | Registered Nurse | Vestal Hills Elementary School, 709 Country Club Road, Vestal, NY 13850 | 2019-11-22 |
| 1770144511 | Janice Cecilia Forsberg | Registered Nurse | Clayton Avenue Elementary School, 209 Clayton Avenue, Vestal, NY 13850 | 2019-06-24 |
| 1922514447 | Christopher Lopez | Optometrist | 132 S Jensen Rd, Vestal, NY 13850 | 2017-12-20 |
| 1720503725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3701 Vestal Pkwy E Ste 4, Vestal, NY 13850 | 2017-08-10 |
| 1013368554 | Ying Fang Zhao | Nurse Practitioner | 404 Apine Drive, Vestal, NY 13850 | 2016-06-27 |
| 1689086308 | Jeff Farinella | Physical Therapist | 1715 Castle Gardes Road, Vestal, NY 13850 | 2014-05-29 |
| 1548689722 | Hamad Saleemi | Physical Medicine & Rehabilitation | 4433 Vestal Pkwy E Fl 1, Vestal, NY 13850 | 2014-04-15 |
| 1518230325 | Sahar F Mahmoud | Optometrist | 3900 Vestal Parkway East, Vestal, NY 13850 | 2012-02-10 |
| 1316221393 | Sharyn Marie Fine | Occupational Therapist | 337 Jones Road, Vestal, NY 13850 | 2011-10-07 |
| 1144504218 | Catherine Ann Willis | Speech-Language Pathologist | 709 Country Club Rd, Vestal, NY 13850 | 2011-10-06 |
| Find all providers in zip 13850 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627740 | Angelica Munoz | Pharmacist | 10 Hudson Yards Fl 37, New York, NY 10001-2160 | 2020-10-23 |
| 1013525617 | Garrett Evan Sinnott | Pharmacist | 1400 Pelham Pkwy S Bldg 8, Bronx, NY 10461-1119 | 2020-07-20 |
| 1306363452 | Andrew Draper | Pharmacist | Bldg 475 Unit 28130, Apo Ae, NY 09114 | 2017-08-29 |
| 1801496161 | Gregory Statt | Pharmacist | 100 Kings Hwy S, Rochester, NY 14617-5504 | 2020-10-27 |
| 1144831868 | Michael Lee Landgren | Pharmacist | 416 Windsor Hwy, New Windsor, NY 12553-6982 | 2020-08-14 |
| 1033727334 | Natalie Greco | Pharmacist | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2020-07-22 |
| 1487275228 | Kenneth Paul Dill | Pharmacist | 2157 Main St, Buffalo, NY 14214-2648 | 2020-05-04 |
| 1356973382 | Keith Matthew Kalvaitis | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-02-07 |
| 1306487954 | Amber N Bradley | Pharmacist | 1225 Gerard Ave, Bronx, NY 10452-8015 | 2019-10-04 |
| 1134779895 | Ty Jacob Stevens | Pharmacist | 462 1st Ave, New York, NY 10016 | 2019-09-16 |
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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.