STACI KLEINBERG (NPI# 1043611478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043611478 |
| Entity Type | Individual |
| Full Name | STACI KLEINBERG |
| Practice Address |
4 Henry St Commack NY 11725-5423 |
| Practice Telephone | 6314625463 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 059420 | NY | Pharmacy Service Providers |
| Street Address |
4 HENRY ST |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104094390 | Amy Nicole Ungar | Pharmacist | 4 Henry St, Pharmacy T-1387, Commack, NY 11725-5423 | 2008-02-11 |
| 1154670032 | Vivian Park | Pharmacist | 4 Henry St, Commack, NY 11725-5423 | 2012-09-06 |
| 1134409865 | Gary Valevich | Pharmacist | 4 Henry St, Commack, NY 11725-5423 | 2011-08-25 |
| 1376866202 | Yasmine Malik | Pharmacist | 4 Henry St, Commack, NY 11725-5423 | 2010-03-06 |
| 1750614475 | Daniel Marc Simon | Pharmacist | 4 Henry St, Commack, NY 11725-5423 | 2009-09-14 |
| 1801023221 | Nicole Kon | Pharmacist | 4 Henry St, Commack, NY 11725-5423 | 2009-06-11 |
| 1164682068 | Loraine T Bedoya | Pharmacist | 4 Henry St, Commack, NY 11725-5423 | 2008-06-13 |
| 1043232697 | Cvs Albany LLC | Pharmacy | 4 Henry St, Commack, NY 11725-5423 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| 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 |
|---|---|---|---|---|
| 1497022925 | Crystal Mcdonald | Pharmacist | 44 Timber Ridge Dr, Commack, NY 11725-1742 | 2011-11-29 |
| 1801178926 | Kristen Demundo | Pharmacist | 6216 Jericho Tpke, Commack, NY 11725-2801 | 2011-09-14 |
| 1912229915 | Laura Lynch | Pharmacist | 1 Mare Ln, Commack, NY 11725-1109 | 2010-02-18 |
| 1346572336 | Mohammed Rahman | Pharmacist | 500 Commack Rd Ste 100a, Commack, NY 11725-5020 | 2010-02-02 |
| 1750612404 | Ira Hecht | Pharmacist | 10 Pickwick Dr, Commack, NY 11725-3517 | 2010-01-20 |
| 1225206550 | Mary E O'donnell | Pharmacist | 6070 Jericho Turnpike, Commack, NY 11725 | 2008-02-20 |
| 1205004256 | Kenneth Anthony Caggiano | Pharmacist | 6070 Jericho Tpke, Commack, NY 11725-2806 | 2008-02-12 |
| 1104094390 | Amy Nicole Ungar | Pharmacist | 4 Henry St, Pharmacy T-1387, Commack, NY 11725-5423 | 2008-02-11 |
| 1942486071 | Jerome D Berg | Pharmacist | 1 Garet Place, Commack, NY 11725 | 2008-01-18 |
| 1063694073 | Samina Ali | Pharmacist | 8 Veterans Memorial Hwy, Commack, NY 11725-3409 | 2007-11-30 |
| Find all providers in COMMACK | ||||
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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.