MR. ROGER LUIS MENDEZ (NPI# 1821333048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821333048 |
| Entity Type | Individual |
| Full Name | MR. ROGER LUIS MENDEZ |
| Credential | RPH, PHARMACIST |
| Practice Address |
77 Nealy Avenue 633d Medical Group Joint Base Langley-eustis VA 23665-2040 |
| Practice Telephone | 7572257630 |
| Practice Fax Number | 7572257630 |
| Mailing Telephone | 7572257630 |
| Mailing Fax Number | 7572257630 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2013-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS26283 | FL | Pharmacy Service Providers |
| Street Address |
77 NEALY AVENUE 633D MEDICAL GROUP |
| City | JOINT BASE LANGLEY-EUSTIS |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732145 | Necia Mcree Pope | Urology | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2005-10-05 |
| 1730637224 | Jessica Ballard | Registered Nurse | 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2016-09-14 |
| 1346634391 | Nelsi Mora | Obstetrics & Gynecology | 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2015-03-26 |
| 1194121145 | Lucy Knippenberg | Dentist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665 | 2014-11-18 |
| 1134523848 | Suzanne Burke Allen | Physical Therapist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-10-09 |
| 1720480957 | Lynnette Cipolla | Dental Hygienist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-09-18 |
| 1013335223 | Brandon Trimbell | Student in an Organized Health Care Education/Training Program | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-04-03 |
| 1629408521 | Julie Elizabeth Hoegger | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23661 | 2013-11-14 |
| 1851635619 | Kimberly R Moser | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2012-11-19 |
| 1992058317 | Denise Nielson | Speech-Language Pathologist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23365-2040 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| 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 |
|---|---|---|---|---|
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1639436660 | Mary Boseman Powell | Pharmacist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2012-04-16 |
| 1538435052 | Michael Watt | Pharmacist | 77 Nealy Ave, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366254 | Mai Ngo | Pharmacist | 3768a Madison Ln, Falls Church, VA 22041-3678 | 2020-11-07 |
| 1619578358 | Mina Ekdawi | Pharmacist | 45735 Smoketree Ter, Sterling, VA 20166-7202 | 2020-11-07 |
| 1427659275 | Zachary Charles Woodley | Pharmacist | 151 Canterbury Ln, Winchester, VA 22603-4320 | 2020-11-06 |
| 1528669439 | Mary Nakbeen | Pharmacist | 41196 Canongate Dr, Leesburg, VA 20175-7072 | 2020-11-06 |
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1396346466 | Carl Nielsen | Pharmacist | 25050 Riding Plz, Chantilly, VA 20152-5925 | 2020-11-05 |
| 1598366460 | Gita Karimianpour | Pharmacist | 1070 Old Trail Dr, Crozet, VA 22932-3341 | 2020-11-05 |
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1669073888 | Chanju Shim | Pharmacist | 21000 Southbank St, Sterling, VA 20165-7242 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LANGLEY-EUSTIS |
| Zip Code | 23665 |
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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.