ROBERT H. STACK (NPI# 1982648770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982648770 |
| Entity Type | Individual |
| Full Name | ROBERT H. STACK |
| Credential | R.PH.. |
| Practice Address |
3 Maple St Kent CT 06757-1711 |
| Mailing Address |
Po Box 237 Washington Depot CT 06794-0237 |
| Practice Telephone | 8603714502 |
| Practice Fax Number | 8609270015 |
| Mailing Telephone | 8603714502 |
| Mailing Fax Number | 8609270015 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5558 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1982795886 | Robert Kevin Stack | Specialist | 1928 Randolph Rd Ste 308, Charlotte, NC 28207-1105 | 2006-09-27 |
| 1134111461 | Robert Michael Stack | Orthopaedic Surgery | 675 Avenida De Mesilla, Las Cruces, NM 88005 | 2005-08-23 |
| Street Address |
3 MAPLE ST |
| City | KENT |
| State | CT |
| Zip Code | 06757-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942251046 | Kent Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 3 Maple St, Kent, CT 06757 | 2006-05-13 |
| 1376840785 | Custom Compounding LLC | Pharmacy | 3 Maple St, Kent, CT 06757-1711 | 2011-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831544030 | Samantha K Case | Social Worker | 62 Carter Road, Kent, CT 06757 | 2016-04-26 |
| 1639545015 | Stephanie Mauri | Dental Hygienist | 8 Green Pastures Ln, Kent, CT 06757 | 2015-08-19 |
| 1275946881 | High Watch Recovery Center | Substance Abuse Rehabilitation Facility | 62 Carter Rd., Kent, CT 06757 | 2014-06-11 |
| 1538592225 | Mary E. Smith Bowen | Licensed Practical Nurse | 46 Maple St, The Kent, Kent, CT 06757 | 2013-08-16 |
| 1629390620 | Kent Volunteer Fire Department, Inc. | Ambulance | 28 Maple St., Kent, CT 06757 | 2010-02-18 |
| 1407021959 | Gayle Pantaleo | Social Worker | 17 Old Barn Road, Kent, CT 06757 | 2008-04-25 |
| 1891992160 | Margaret Farley Mcmorrow | Acupuncturist | Progressive Medicine, 17 Old Barn Road, Kent, CT 06757 | 2007-06-29 |
| 1407981681 | Dan Traub | Specialist/Technologist | Kent School 1 Macedonia Rd., Kent, CT 06757 | 2007-02-21 |
| 1518057942 | Michael G Monsarrat | Dentist | 37 N Main St, Kent, CT 06757 | 2006-10-14 |
| 1891800512 | Leonard Jerome Astrauskas | Internal Medicine | 27 North Main Street, Unit 7a, Kent, CT 06757 | 2006-08-20 |
| Find all providers in zip 06757 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742763 | Albert Russell Barber | Pharmacist | 7531 Diagonal Rd, Kent, OH 44240-5954 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619524584 | Anshu Chen | Pharmacist | 290 Box Mountain Dr, Vernon, CT 06066-6309 | 2019-08-24 |
| 1841654225 | Ramalakshmi Devadi | Pharmacist | 1035 Washington Blvd, Stamford, CT 06901-2204 | 2016-04-11 |
| 1013293851 | Alec Theis | Pharmacist | 3265 Berlin Tpke, T1802, Newington, CT 06111-5101 | 2011-10-25 |
| 1457588220 | Maria A Summa | Pharmacist | 114 Woodland Street Department of Pharmacy, Saint Francis Hospital and Medical Center, Hartford, CT 06105 | 2009-06-18 |
| 1609990159 | Lorna Zammett | Pharmacist | 112 Medford St, Bristol, CT 06010-3683 | 2007-03-19 |
| 1528192812 | David Nederhood | Pharmacist | 55 Northwood Dr, Guilford, CT 06437-1127 | 2007-03-16 |
| 1518021138 | Craig Ian Coleman | Pharmacist | 80 Seymour St # Cb309, Hartford Hospital, Hartford, CT 06102-8000 | 2006-12-20 |
| 1053474619 | Fei Wang | Pharmacist | 79 Retreat Ave, Adult Primary Care Practice, Hartford, CT 06106-2527 | 2006-12-18 |
| 1285727354 | Richard Lawrence Kubarek | Pharmacist | 114 Beebe Hill Rd, Falls Village, CT 06031-1612 | 2006-10-02 |
| 1700996733 | Jaime L Correia | Pharmacist | 555 Willard Ave # 119, Newington, CT 06111-2631 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROBERT H. STACK.
| 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.