MRS. JENNIFER LEIGH RIDGEWAY (NPI# 1093904567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093904567 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LEIGH RIDGEWAY |
| Credential | PHARM.D. |
| Practice Address |
3949 Route 31 Walmart Pharmacy Liverpool NY 13090 |
| Practice Telephone | 3156225405 |
| Practice Fax Number | 3156225407 |
| Mailing Telephone | 3156225405 |
| Mailing Fax Number | 3156225407 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 047954-1 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649342551 | Jennifer Ann Ridgeway | Dentist | 7520 Montgomery Blvd Ne, Suite D1, Albuquerque, NM 87109-1521 | 2006-11-15 |
| 1306869987 | Jennifer Ridgeway | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-25 |
| Street Address |
3949 ROUTE 31 WALMART PHARMACY |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558620336 | Erin Michelle Sohns | Pharmacist | 3949 Route 31, Liverpool, NY 13090 | 2012-05-14 |
| 1508154949 | Regina M. Devito, O.d., P.C. | Optometrist | 3949 Route 31, Liverpool, NY 13090 | 2011-07-19 |
| 1093946972 | Katherine Zawadzki | Pharmacist | 3949 Route 31, Liverpool, NY 13090 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| 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 |
|---|---|---|---|---|
| 1972163095 | Ifeanyi Victor Okwor | Pharmacist | 9 Winchester Dr, Liverpool, NY 13088-3530 | 2019-06-20 |
| 1326510322 | Susan Al-salameh | Pharmacist | 8110 Lobos Ln, Liverpool, NY 13090-6824 | 2019-01-02 |
| 1174803191 | Irina Pustovalova | Pharmacist | 219 Grenadier Dr Apt F, Liverpool, NY 13090-2757 | 2011-08-22 |
| 1417289240 | Kenny Tsen | Pharmacist | 4763 Norstar Blvd Apt 323, Liverpool, NY 13088-4222 | 2010-02-03 |
| 1477889061 | Brian Pompo | Pharmacist | 3635 Redhead Ter, Liverpool, NY 13090-1071 | 2009-11-02 |
| 1730365883 | Susan L Cuculich | Pharmacist | 4975 Bear Rd, Liverpool, NY 13088-4156 | 2008-01-18 |
| 1932384021 | John Stuhlman | Pharmacist | 703 Old Liverpool Rd, Liverpool, NY 13088-6034 | 2008-01-08 |
| 1376727024 | Justin Neal | Pharmacist | 7398 Oswego Rd, Liverpool, NY 13090-3718 | 2007-12-18 |
| 1376756296 | Robert P. Amitrano | Pharmacist | 8254 Beehive Cir, Liverpool, NY 13090-6852 | 2007-05-07 |
| 1013039023 | Francis B Pisano | Pharmacist | 206 Jewell Dr, Liverpool, NY 13088-5422 | 2007-04-03 |
| Find all providers in LIVERPOOL | ||||
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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.