CORY ULISSE (NPI# 1952947889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952947889 |
| Entity Type | Individual |
| Full Name | CORY ULISSE |
| Credential | PHARMD |
| Practice Address |
400 Highland Ave Lewistown PA 17044-1167 |
| Practice Telephone | 7172427275 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP445684 | PA | Pharmacy Service Providers |
| Street Address |
400 HIGHLAND AVE |
| City | LEWISTOWN |
| State | PA |
| Zip Code | 17044-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811621 | Mercy Medical Imaging Associates,pc | Radiology | 400 Highland Ave, Lewistown, PA 17044-1167 | 2005-06-20 |
| 1588275572 | Daniel James Magazino | Nurse Anesthetist, Certified Registered | 400 Highland Ave, Lewistown, PA 17044-1167 | 2020-08-12 |
| 1649889791 | Miranda Lynne Graham | Pharmacist | 400 Highland Ave, Lewistown, PA 17044-1167 | 2020-07-24 |
| 1912516071 | Elyssa Nicole Johannesen | Pharmacist | 400 Highland Ave, Lewistown, PA 17044-1167 | 2020-07-24 |
| 1912536889 | Skye Miller | Student in an Organized Health Care Education/Training Program | 400 Highland Ave, Lewistown, PA 17044-1167 | 2020-04-03 |
| 1043850910 | Melissa Lynn Thomas | Nurse Practitioner | 400 Highland Ave, Lewistown, PA 17044-1167 | 2020-01-08 |
| 1902442825 | Chinwendu C Onyeachu | Pharmacist | 400 Highland Ave, Lewistown, PA 17044-1167 | 2019-11-26 |
| 1568008472 | Autumn Lee Peck | Pharmacist | 400 Highland Ave, Lewistown, PA 17044-1167 | 2019-11-26 |
| 1396388559 | Jill Marie Benner | Registered Nurse | 400 Highland Ave, Lewistown, PA 17044-1167 | 2019-10-21 |
| 1407498348 | Gabrielle Jayne Hayward | Pharmacist | 400 Highland Ave, Lewistown, PA 17044-1167 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391126 | Kenzie Renae Wray | Occupational Therapy Assistant | 1617 Us Highway 522 N, Lewistown, PA 17044 | 2019-05-16 |
| 1801305206 | Sarah Arndt | Occupational Therapist | Ohesson Manor 276 Green Ave, Lewistown, PA 17044 | 2017-09-28 |
| 1093182685 | Silver Lining Counseling LLC | Community/Behavioral Health | 100a Stine Drive, Lewistown, PA 17044 | 2015-08-31 |
| 1750778981 | Geisinger Lewistown Hospital | Clinic/Center | 211 Third Street, Lewistown, PA 17044 | 2015-04-27 |
| 1154717619 | Nicki Vithalani | Student in an Organized Health Care Education/Training Program | 211 Third St, Lewistown, PA 17044 | 2015-04-11 |
| 1871923391 | Karen Graham Doberneck | Psychologist | 25 N. Main Street, Lewistown, PA 17044 | 2013-11-19 |
| 1730420639 | Mary Ruth Habashy | Advanced Practice Midwife | 400 Highland Avenue, Lewistown, PA 17044 | 2013-03-04 |
| 1689923781 | Deborah L Martin | Massage Therapist | 45 Serenity Lane, Jack's Creek Road, Lewistown, PA 17044 | 2012-09-05 |
| 1053605931 | Lori Lee Yocum | Licensed Practical Nurse | 25 Rothermel Drive, Lewistown, PA 17044 | 2011-06-08 |
| 1235364613 | Heather Anya Morgan | Chiropractor | 713 W 4th St, Lewistown, PA 17044 | 2009-05-28 |
| Find all providers in zip 17044 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639651805 | Keith Stephen Graham | Pharmacist | 400 Highland Ave, Geisinger Lewistown Hospital Pharmacy, Lewistown, PA 17044 | 2018-09-04 |
| 1972043370 | Frances Eberechukwu Obutte | Pharmacist | 400 Highland Ave, Lewistown, PA 17044-1167 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466780 | Rhonda Sue Wible | Pharmacist | 134 Overlook Dr, Franklin, PA 16323-4412 | 2020-10-28 |
| 1235743170 | Himaswetha Bharatha | Pharmacist | 5610 Derry St, Harrisburg, PA 17111-3518 | 2020-09-08 |
| 1295355030 | Nur Kazzaz | Pharmacist | 3401 N Broad St Ste B150, Philadelphia, PA 19140-5103 | 2020-04-22 |
| 1659900728 | Joseph Paul Nemetz | Pharmacist | 738 Shady Ave, Sharon, PA 16146-3149 | 2020-04-02 |
| 1437786969 | Leah Marron Rapp | Pharmacist | 30 Pinnacle Dr Ste 103, Clarion, PA 16214-3800 | 2020-03-25 |
| 1437780913 | Peter Hallisey | Pharmacist | 565 Coal Valley Rd Dept Of, Clairton, PA 15025-3703 | 2020-02-03 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1033693270 | Eric Abanquah | Pharmacist | 120 Fifth Avenue, Fap-1456, Pittsburgh, PA 15222 | 2018-09-24 |
| 1164903381 | Suzanne Scott Giyanani | Pharmacist | 200 W Washington Sq Apt 3609, Philadelphia, PA 19106-3538 | 2018-08-25 |
| Find all providers with the same taxonomy | ||||
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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.