SHAWN O'ROURKE (NPI# 1912507658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912507658 |
| Entity Type | Individual |
| Full Name | SHAWN O'ROURKE |
| Credential | RPH |
| Practice Address |
215 E Main St Clinton CT 06413-2200 |
| Practice Telephone | 8606696636 |
| Mailing Telephone | 8606696636 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0015256 | CT | Pharmacy Service Providers |
| Street Address |
215 E MAIN ST |
| City | CLINTON |
| State | CT |
| Zip Code | 06413-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315793 | Michele Marciniak | Pharmacist | 215 E Main St, Clinton, CT 06413-2200 | 2017-06-05 |
| 1750818639 | Jeremy Tucker | Pharmacist | 215 E Main St, Clinton, CT 06413-2200 | 2017-05-22 |
| 1598292104 | Melanie Masse | Pharmacist | 215 E Main St, Clinton, CT 06413-2200 | 2017-05-12 |
| 1083646947 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 215 E Main St, Clinton, CT 06413-2200 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| 1659814366 | A Behavioral Apporach | Behavioral Analyst | 4 Laconia Dr, Clinton, CT 06413 | 2016-11-29 |
| 1255786638 | The Vogl Program | Early Intervention Provider Agency | 15 Hammock Pkwy, Clinton, CT 06413 | 2016-05-04 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1306067624 | Julia S Tucker | Marriage & Family Therapist | 162 B East Main Street, Clinton, CT 06413 | 2007-05-02 |
| 1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
| 1215099411 | Edward I Winokur Md | Family Medicine | 27 Commerce Street, Clinton, CT 06413 | 2006-12-14 |
| 1366518904 | Catherine L Alder | Social Worker | 12 Bargate Road, Clinton, CT 06413 | 2006-11-27 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| Find all providers in zip 06413 | ||||
| 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 |
|---|---|---|---|---|
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1811455629 | Deva Sandroni | Pharmacist | 132 Fairmont St Ste B, Clinton, MS 39056-4721 | 2019-03-11 |
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1659857845 | Sally Drinnon | Pharmacist | 200 S 30th St, Clinton, OK 73601-3657 | 2018-07-11 |
| 1730673237 | Raisa Vladimir Reznik | Pharmacist | 6300 Coventry Way, Clinton, MD 20735-2256 | 2018-06-18 |
| 1962929331 | Jonathan Glen Hubanks | Pharmacist | 202 Clinton Blvd, Clinton, MS 39056-5126 | 2017-08-27 |
| 1871022830 | Mary Venetta Rothermal | Pharmacist | 140 W Michigan Ave, Clinton, MI 49236-9577 | 2017-06-05 |
| 1689028896 | Bridget Piko | Pharmacist | 165 Clinton Lake Rd, Clinton, PA 15026-1927 | 2016-04-14 |
| 1023487055 | Tyler Dougherty | Pharmacist | 1130 N Charles G Seivers Blvd, Clinton, TN 37716-3937 | 2015-09-21 |
| Find all providers in CLINTON | ||||
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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.