JOHN DESIMONE (NPI# 1982889168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982889168 |
| Entity Type | Individual |
| Full Name | JOHN DESIMONE |
| Practice Address |
2799 Route 112 Medford NY 11763-2535 |
| Practice Telephone | 6317582801 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 029839 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972007615 | John Anthony Desimone Ix | Pharmacist | 11721 Telegraph Rd Ste Uniti, Santa Fe Springs, CA 90670-3674 | 2018-03-19 |
| 1336681022 | John Desimone | Hearing Instrument Specialist | 850 W Chester Pike, Havertown, PA 19083-4400 | 2016-11-10 |
| 1154408938 | John W. Desimone | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2006-11-01 |
| 1548288988 | John P Desimone | Family Medicine | 475 Irving Ave, Ste 300, Syracuse, NY 13210-1528 | 2006-07-17 |
| 1780682740 | John V Desimone | Emergency Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-13 |
| Street Address |
2799 ROUTE 112 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225076722 | Jay Iype | Pediatrics | 2799 Route 112, Suite #11, Medford, NY 11763 | 2006-06-04 |
| 1376181214 | Jessica Chandhok | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2019-12-10 |
| 1093239790 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2799 Route 112, Medford, NY 11763-2535 | 2017-08-03 |
| 1528373081 | Elizabeth A. Milia | Optometrist | 2799 Route 112, Suite 21a, Medford, NY 11763-2535 | 2010-08-09 |
| 1457678906 | Lauren Elizabeth Ng | Pediatrics | 2799 Route 112, Suite 11, Medford, NY 11763-2535 | 2010-04-23 |
| 1336462852 | Badrud D Shaikh | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2010-03-11 |
| 1235310418 | Tithiporn Premaskul | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2007-11-16 |
| 1073793352 | Gabriel Esteban Rodriguez | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2007-11-05 |
| 1275667339 | Noreen Lagman | Physical Therapist | 2799 Route 112, Suite 5, Medford, NY 11763-2535 | 2007-03-14 |
| 1447359617 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2799 Route 112, Medford, NY 11763-2535 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| 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 |
|---|---|---|---|---|
| 1386245934 | Stephen Choi | Pharmacist | 12 Blakely Rd, Medford, MA 02155-2409 | 2020-11-02 |
| 1366084592 | Michael Kasik | Pharmacist | 701 Black Oak Dr, Medford, OR 97504-8550 | 2019-10-09 |
| 1316594898 | Christ Ange G Katche | Pharmacist | 21 College Ave Apt 1, Medford, MA 02155-4571 | 2019-08-20 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1770059537 | Kamal Kotaich | Pharmacist | 140 S Holly St Ste 1131, Medford, OR 97501-3113 | 2018-10-19 |
| 1851778211 | Kyle Mason | Pharmacist | 34 Tallowood Dr, Medford, NJ 08055-9147 | 2015-05-05 |
| 1174931331 | Justina Sokolovas | Pharmacist | 1350 Center Drive, Pharmacy Department, Medford, OR 97501 | 2014-07-31 |
| 1295152759 | Marvin Wainwright | Pharmacist | 5 Wilkins Station Rd, Suite 100, Medford, NJ 08055-9606 | 2014-03-23 |
| 1780008466 | Catherine Rimov | Pharmacist | 4449 Vista Pointe Dr, Medford, OR 97504-8084 | 2014-02-14 |
| 1992141584 | Jerry C Hood | Pharmacist | 2425 Nieto Way, Medford, OR 97504-8577 | 2013-05-22 |
| Find all providers in MEDFORD | ||||
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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.