MR. RONALD JOEL WISSUCHEK (NPI# 1114226248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114226248 |
| Entity Type | Individual |
| Full Name | MR. RONALD JOEL WISSUCHEK |
| Credential | PHARMACISTS |
| Practice Address |
1291 Albany Ave Hartford CT 06112-2198 |
| Practice Telephone | 8605601881 |
| Practice Fax Number | 8605600614 |
| Mailing Telephone | 8605601881 |
| Mailing Fax Number | 8605600614 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
0006212 | CT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICUT STATE PHARMACIST LIC | 0006212 | 01 |
| Street Address |
1291 ALBANY AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-2198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912034711 | Richard Henry Krzanowski | Pharmacist | 1291 Albany Ave, Hartford, CT 06112-2198 | 2007-02-27 |
| 1659894178 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1291 Albany Ave, Hartford, CT 06112-2198 | 2017-07-18 |
| 1356756308 | Quy Vinh | Pharmacist | 1291 Albany Ave, Hartford, CT 06112-2198 | 2014-06-29 |
| 1093129371 | Go Saito | Pharmacist | 1291 Albany Ave, Hartford, CT 06112-2198 | 2014-06-16 |
| 1215275813 | Edward Kensah | Pharmacist | 1291 Albany Ave, Hartford, CT 06112-2198 | 2013-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811344500 | Karen Pickel | Pharmacist | 35 Wilcox Ln, Portland, CT 06480-1002 | 2016-05-23 |
| 1962771865 | Joanna Nunzianto | Pharmacist | 80 Horse Pond Rd, Madison, CT 06443-2513 | 2011-12-21 |
| 1962770933 | James Kilgus | Pharmacist | 25 Robert Jackson Way, Plainville, CT 06062-2650 | 2011-12-06 |
| 1942402177 | Gene A Memoli Jr. | Pharmacist | 1717 N Peters Ln, Stratford, CT 06614-8921 | 2007-06-01 |
| 1831211390 | Richard R Daniels Jr. | Pharmacist | 55 Falls Landing Rd, Deep River, CT 06417-1693 | 2007-04-04 |
| 1043385818 | Michael Moore | Pharmacist | 109 Butler Dr, Glastonbury, CT 06033-3534 | 2006-11-21 |
| 1184946683 | Linda Bradshaw | Pharmacist | 525 Knotter Dr, Omnicare, Cheshire, CT 06410-1100 | 2010-02-24 |
| 1366522385 | Jennifer Forman | Pharmacist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2006-10-16 |
Please comment or provide details below to improve the information on MR. RONALD JOEL WISSUCHEK.
| 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.