JACK BLITZ (NPI# 1851641021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851641021 |
| Entity Type | Individual |
| Full Name | JACK BLITZ |
| Practice Address |
101 W Ehringhaus St Elizabeth City NC 27909-4921 |
| Mailing Address |
101 West Ehringhaus St. Elizabeth City NC 27909 |
| Practice Telephone | 2523383933 |
| Practice Fax Number | 2523381760 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8492 | NC | Pharmacy Service Providers |
| Street Address |
101 W EHRINGHAUS ST |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740383439 | North Carolina Cvs Pharmacy LLC | Pharmacy | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2006-09-07 |
| 1861046443 | Christina Lynn Lassetter | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2019-07-31 |
| 1437585908 | Carlesha Dorsey | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2013-09-17 |
| 1407289952 | Kiera Johnson | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2013-08-19 |
| 1427301498 | Courtney Williams Jennings | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2012-10-16 |
| 1225321730 | Katherine Serzan Copeland | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2011-05-17 |
| 1588972038 | Donald Brent Richardson | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2010-09-17 |
| 1578871489 | Jill Elizabeth Grutza | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| 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 |
|---|---|---|---|---|
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1811325426 | Anthony Emekalam | Pharmacist | 1418 Brothers Dr, Elizabeth City, NC 27909-6644 | 2013-10-16 |
| 1225121825 | Jennifer Price Burgess | Pharmacist | 1144 North Road St, Albemarle Hospital Pharmacy, Elizabeth City, NC 27909 | 2006-10-02 |
| 1619940186 | April Ayers Smith | Pharmacist | Albemarle Hospital Pharmacy, 1144 North Road Street, Elizabeth City, NC 27909-3353 | 2006-02-07 |
| 1861038853 | Emily Jane Walker | Pharmacist | 101 Tanglewood Pkwy N, Elizabeth City, NC 27909-7788 | 2019-11-25 |
| 1861046443 | Christina Lynn Lassetter | Pharmacist | 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 | 2019-07-31 |
| 1417435223 | Devin Waine Barlowe | Pharmacist | 101 Tanglewood Pkwy N, Elizabeth City, NC 27909-7788 | 2018-08-02 |
| 1750877817 | Charlotte Lightell | Pharmacist | 683 S Hughes Blvd, Elizabeth City, NC 27909-4530 | 2018-07-02 |
| 1992223374 | Breanne Williams Scribner | Pharmacist | 207 S Poindexter St, Elizabeth City, NC 27909-4834 | 2017-09-06 |
| 1417488594 | Mary Mullis March | Pharmacist | 101 Tanglewood Pkwy N, Walmart Pharmacy, Elizabeth City, NC 27909-7788 | 2017-03-21 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
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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.