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Page 1 of 2 <br />Dan Dewitya <br />Volunteer Application <br />Orange County Advisory Boards and Commissions <br />Name: <br />Name Called: <br />Home Address: <br />Phone (Day): <br />Phone (Evening) <br />Phone (Cell): <br />Email: <br />Place of Employment: <br />Job Title: <br />Year of OC Residence: <br />Township of Residence: <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Dan Dewitya <br />112 Bolinwood Dr <br />Chapel Hill NC 27514 -2643 <br />919- 906 -6762 <br />919- 906 -6762 <br />919- 906 -6762 <br />dan.dewitya @gmail.com <br />Lincoln Community Health Center <br />Pharmacist <br />1985 <br />Chapel Hill <br />Male <br />Asian American <br />Community Activities /Organizational Memberships: <br />NC State Medical Assistance Team (SMAT)Duke Regional Advisory Committee (DRAC); <br />Ajunct Assistant Professor UNC Eshelman School of Pharmacy; University of Florida <br />College of Pharmacy preceptor; NC Seniors Health Insurance Information Program <br />(SHIIP) counselor; Senior PharmAssist Formulary Committee; NCCU School of Nursing <br />guest lecturer; North Carolina Association of Pharmacists <br />Past Service on Orange County Advisory Boards: <br />I have never served on any Orange County Advisory Boards. <br />Boards /Commissions applied for: <br />Board of Health <br />Background, education and experience relevant to this board: <br />I have been a pharmacist for more than 15 years at Lincoln Community Health Center, whose <br />goal is ensuring equal and fair access to high - quality health care. I am the formulary manager at <br />the clinic, help ensure the pharmacyaETMs Medicaid compliance and serve on the Environment <br />of Care Committee. http: / /www.lincolnchc.org/ <br />During that time I have also served as an adjunct assistant professor with UNCa €TMs Eshelman <br />School of Pharmacy and a preceptor with the University of Florida College of Pharmacy where I <br />had the opportunity to train future pharmacists. <br />I have been a member of the North Carolina State Medical Assistance Team (NC SMAT) Duke <br />Regional Advisory Committee (DRAC NC -400) since 2011 and will begin serving as an advisor <br />to the SMAT steering committee. http: / /trauma.duhs.duke.edu /disaster - response /nc400 -smat <br />Last year, I completed training with the NC Department of Insurance SeniorsaETM Health <br />Insurance Information Program (SHIIP) and became a SHIIP counselor to help seniors navigate <br />Medicare. I am also a member of Senior PharmAssistaETMs formulary committee. <br />http: / /www.ncdoi.com /shiip/ http: / /seniorpharmassist.org/ <br />Reasons for wanting to serve on this board: <br />