ROBERT CHURCH (NPI# 1861706277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861706277 |
| Entity Type | Individual |
| Full Name | ROBERT CHURCH |
| Credential | RPH |
| Practice Address |
62 W Gray Rd Gray ME 04039-9772 |
| Practice Telephone | 2076572333 |
| Mailing Telephone | 2076572333 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR3841 | ME | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032708 | Robert Church | Family Medicine | 2402 S State St, Saint Joseph, MI 49085-1914 | 2016-10-03 |
| 1346545100 | Robert Lee Church | Counselor | 200 E Wshgton Ave Ste 100, Escondido, CA 92025-1806 | 2011-01-25 |
| 1447880141 | Robert Church | Nurse Anesthetist, Certified Registered | 777 Bannock St, Denver, CO 80204-4507 | 2020-01-22 |
| 1255743514 | Robert Church | Pharmacist | 2325 Myers St, Oroville, CA 95966-5476 | 2014-05-21 |
| 1023390531 | Robert A Church | Podiatrist | 185 S 400 E, Ste 100, Bountiful, UT 84010-4801 | 2011-09-12 |
| 1306048673 | Robert Joe Church Jr. | Family Medicine | 5012 S Us Highway 75, Suite 300, Denison, TX 75020-4587 | 2007-05-31 |
| 1336246396 | Robert Dean Church | Family Medicine | 4300 B St, Suite 200, Anchorage, AK 99503-5925 | 2006-09-20 |
| Street Address |
62 W GRAY RD |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356574941 | Shady Aly Ismail Elattar | Pharmacist | 62 W Gray Rd, Gray, ME 04039-9772 | 2009-08-28 |
| 1679184279 | Erica Meader | Pharmacist | 62 W Gray Rd, Gray, ME 04039-9772 | 2020-08-17 |
| 1629593694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 62 W Gray Rd, Gray, ME 04039-9772 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| 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 |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1609125566 | Britany Keyon Jackson | Pharmacist | 309 Linda Ann Ave, Gray, LA 70359-3316 | 2012-09-06 |
| 1609168202 | John Tyson Huff | Pharmacist | 5034 Bobby Hicks Hwy, Gray, TN 37615-6207 | 2011-05-14 |
| 1356574941 | Shady Aly Ismail Elattar | Pharmacist | 62 W Gray Rd, Gray, ME 04039-9772 | 2009-08-28 |
| 1750515011 | Andrew L Barrett | Pharmacist | 611 West Clinton Street, Gray, GA 31032-0746 | 2009-05-14 |
| 1992973242 | Patrick Ramsay Gilbert | Pharmacist | 236 West Clinton Street, Medicap Pharmacy, Gray, GA 31032-1388 | 2008-02-20 |
| 1396929568 | Albert H Mcgalliard | Pharmacist | 236 West Clinton St, Gray, GA 31032 | 2007-12-24 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1780717223 | Loray Thomas Childs | Pharmacist | 126 W Clinton St, Gray, GA 31032-5322 | 2007-03-13 |
| 1629112248 | Stephen Clayton Mcpike | Pharmacist | 15 Wildwood Ln, Gray, ME 04039-9632 | 2007-02-16 |
| Find all providers in GRAY | ||||
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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.