JENNIFER LYNNE BEVILACQUA (NPI# 1023294477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023294477 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNNE BEVILACQUA |
| Credential | RPH |
| Practice Address |
317 S Cascade Dr Springville NY 14141-9108 |
| Practice Telephone | 7165921465 |
| Practice Fax Number | 7165921474 |
| Mailing Telephone | 7165921465 |
| Mailing Fax Number | 7165921474 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 044496 | NY | Pharmacy Service Providers |
| Street Address |
317 S CASCADE DR |
| City | SPRINGVILLE |
| State | NY |
| Zip Code | 14141-9108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790702850 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 317 S Cascade Dr, Springville, NY 14141-9108 | 2006-07-16 |
| 1336655687 | Sarah Wheeler | Technician/Technologist | 317 S Cascade Dr, Springville, NY 14141-9108 | 2017-12-22 |
| 1972918241 | Dane Edward Munzek | Pharmacist | 317 S Cascade Dr, Springville, NY 14141-9108 | 2014-06-25 |
| 1467774455 | Cheryl Marie Haag | Pharmacist | 317 S Cascade Dr, Springville, NY 14141-9108 | 2010-02-18 |
| 1801903364 | Wal-mart Stores East, Lp | Technician/Technologist | 317 S Cascade Dr, Springville, NY 14141-9108 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831666114 | Lauren Victoria Manchester | Student in an Organized Health Care Education/Training Program | 290 Vaughn Street, Springville, NY 14141 | 2018-10-25 |
| 1366950479 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 224 East Main St., Buffalo Orthopaedic Group, LLP, Springville, NY 14141 | 2018-01-11 |
| 1104195130 | Mary Ann Garlock | Speech-Language Pathologist | 290 North Buffalo St, Springville, NY 14141 | 2011-12-20 |
| 1124341128 | Susan K Bancroft | Pharmacist | 316 S.cascade Dr., Springville, NY 14141 | 2010-03-04 |
| 1710132204 | Rhonda C. Cecala | Licensed Practical Nurse | 337 North Buffalo Street, Springville, NY 14141 | 2008-11-25 |
| 1538340278 | Darren W Love | Pharmacist | 184 So Cascade Dr, Springville, NY 14141 | 2007-11-23 |
| 1891882320 | Theodore M Steinwachs | Physician Assistant | 24 Franklin Street, Springville, NY 14141 | 2006-10-06 |
| 1659489201 | Amy Elizabeth Schmitt-kingston | Dentist | 13832 White St, Springville, NY 14141 | 2006-08-25 |
| 1548274459 | Chiropractic Care Pllc | Chiropractor | 85 Franklin St, Springville, NY 14141 | 2006-07-28 |
| 1619922770 | Lori Ann Baker | Nurse Anesthetist, Certified Registered | Bertrand Chaffee Hospital, 224 East Main Street, Springville, NY 14141 | 2006-05-24 |
| Find all providers in zip 14141 | ||||
| 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 |
|---|---|---|---|---|
| 1508394578 | Kathryn Clairena Stanton | Pharmacist | 160 Springville Station Blvd, Springville, AL 35146 | 2017-06-02 |
| 1225577463 | Jerome Prusack | Pharmacist | 6591 State Route 29, Springville, PA 18844-7608 | 2017-02-21 |
| 1699140061 | Darryl Ivanson | Pharmacist | 407 Foxridge Dr, Springville, IN 47462-5024 | 2015-12-10 |
| 1801200324 | Nathan Christian | Pharmacist | 1117 W 400 S, Springville, UT 84663-3061 | 2014-06-12 |
| 1124341128 | Susan K Bancroft | Pharmacist | 316 S.cascade Dr., Springville, NY 14141 | 2010-03-04 |
| 1538340278 | Darren W Love | Pharmacist | 184 So Cascade Dr, Springville, NY 14141 | 2007-11-23 |
| 1295915494 | Stephan D Seybolt | Pharmacist | 184 S Cascade Dr, Springville, NY 14141-9275 | 2007-11-06 |
| 1720689532 | Anna Stewart | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-06 |
| 1134720485 | Rebecca Youngberg | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-03 |
| 1700487360 | Daniel Clark | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-02 |
| Find all providers in SPRINGVILLE | ||||
| City | SPRINGVILLE |
| Zip Code | 14141 |
Please comment or provide details below to improve the information on JENNIFER LYNNE BEVILACQUA.
| 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.