ANITA LICKTEIG (NPI# 1063803336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063803336 |
| Entity Type | Individual |
| Full Name | ANITA LICKTEIG |
| Practice Address |
300 Chase Ave Waterbury CT 06704-2246 |
| Practice Telephone | 2034373674 |
| Practice Fax Number | 2037218787 |
| Mailing Telephone | 2034373674 |
| Mailing Fax Number | 2037218787 |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| Street Address |
300 CHASE AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063594422 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Chase Ave, Waterbury, CT 06704-2246 | 2006-10-19 |
| 1851782197 | Miguel Garcia | Pharmacy Technician | 300 Chase Ave, Waterbury, CT 06704-2246 | 2015-02-09 |
| 1417348814 | Sylvia Pais Narciso | Pharmacy Technician | 300 Chase Ave, Waterbury, CT 06704-2246 | 2015-02-07 |
| 1366781940 | Renee Laplante | Pharmacist | 300 Chase Ave, Waterbury, CT 06704-2246 | 2013-02-03 |
| 1154618833 | Amanda Silva | Pharmacist | 300 Chase Ave, Target Pharmacy T-2156, Waterbury, CT 06704-2246 | 2011-07-01 |
| 1710273651 | Michele Newton | Pharmacist | 300 Chase Ave, Waterbury, CT 06704-2246 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093106007 | Jahaira Lopez | Pharmacy Technician | 148 Deerfield Ave, Waterbury, CT 06708-1331 | 2015-02-12 |
| 1851782197 | Miguel Garcia | Pharmacy Technician | 300 Chase Ave, Waterbury, CT 06704-2246 | 2015-02-09 |
| 1417348814 | Sylvia Pais Narciso | Pharmacy Technician | 300 Chase Ave, Waterbury, CT 06704-2246 | 2015-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245898386 | Leanne Marie Varga | Pharmacy Technician | 315 E Village Rd, Shelton, CT 06484-1600 | 2019-06-04 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1023464898 | Samuel Paley | Pharmacy Technician | 198 Batterson Dr, New Britain, CT 06053-1064 | 2016-05-10 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1639569239 | Nicholas Ojeda | Pharmacy Technician | 23 Herman Way, South Windsor, CT 06074-1414 | 2015-02-03 |
| 1417347022 | Wanda Martinez | Pharmacy Technician | 165 Brookside Ave, Bridgeport, CT 06606-1502 | 2015-02-03 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1568607976 | Raj B Shah | Pharmacy Technician | 25 Sigourney St, Hartford, CT 06106-5041 | 2008-12-15 |
| 1891318721 | Andrew Mahabee | Pharmacy Technician | 20 York St, New Haven, CT 06510-3220 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
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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.