MICHELLE VAN GERVEN (NPI# 1932709128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932709128 |
| Entity Type | Individual |
| Full Name | MICHELLE VAN GERVEN |
| Credential | PHARM D |
| Practice Address |
1455 Towne Square Blvd Nw Roanoke VA 24012-1612 |
| Mailing Address |
3153 Clayview Cir Salem VA 24153-8662 |
| Practice Telephone | 5405272364 |
| Practice Fax Number | 5405272363 |
| Mailing Telephone | 5405297682 |
| Mailing Fax Number | 5405272363 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202203587 | VA | Pharmacy Service Providers |
| Street Address |
1455 TOWNE SQUARE BLVD NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902855414 | Guy Andrew Dietels | Optometrist | 1455 Towne Square Blvd Nw, Roanoke, VA 24012-1612 | 2006-05-10 |
| 1710587654 | Mark Dorsey | Pharmacist | 1455 Towne Square Blvd Nw, Roanoke, VA 24012-1612 | 2020-10-29 |
| 1437609419 | Suzanne C Miller | Pharmacist | 1455 Towne Square Blvd Nw, Roanoke, VA 24012-1612 | 2016-10-13 |
| 1447359328 | Sam's Club Optical | Technician/Technologist | 1455 Towne Square Blvd Nw, Roanoke, VA 24012-1612 | 2006-09-21 |
| 1265459374 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1455 Towne Square Blvd Nw, Roanoke, VA 24012-1612 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| 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 |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1609402239 | Xuan Huyen Nguyen | Pharmacist | 4412 Elmgreen Dr, Roanoke, TX 76262-2709 | 2020-03-16 |
| 1225506108 | Jessica Saville | Pharmacist | 101 Elm Ave Se Fl 1, Roanoke, VA 24013-2222 | 2018-11-08 |
| 1972071439 | Jessica Lynn Schad | Pharmacist | 1906 Belleview Ave Se Fl 14, Roanoke, VA 24014-1838 | 2018-11-02 |
| 1851833545 | Rual Fuller Jr. | Pharmacist | 3419 Orange Ave Ne, Roanoke, VA 24012-6422 | 2016-11-10 |
| 1538576053 | Sarah Webb | Pharmacist | 2141 Dale Ave Se, Roanoke, VA 24013-2135 | 2014-07-16 |
| 1881011203 | Neeraja Iyer | Pharmacist | 1932 Summerfield Dr, Roanoke, VA 24012-6768 | 2014-03-24 |
| 1023434958 | Michael Elgohary | Pharmacist | 3114 Honeywood Ln Apt A, Roanoke, VA 24018 | 2014-03-17 |
| 1255755419 | Sam Fontinel | Pharmacist | 5512 Capulet Ct, Roanoke, VA 24018-9368 | 2014-02-08 |
| 1578987871 | Chad Evan Musick | Pharmacist | 3533 Freanklin Rd Sw, Roanoke, VA 26013 | 2014-02-07 |
| Find all providers in ROANOKE | ||||
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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.