MS. ANGELA JOY LUCZEJKO (NPI# 1124418868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124418868 |
| Entity Type | Individual |
| Full Name | MS. ANGELA JOY LUCZEJKO |
| Other Name | MS. ANGELA JOY MOSCOSO |
| Practice Address |
1 Mifflin St Philadelphia PA 19148-2017 |
| Practice Telephone | 2154633301 |
| Practice Fax Number | 2159646465 |
| Mailing Telephone | 2154633301 |
| Mailing Fax Number | 2159646465 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| 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 |
1 MIFFLIN ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073536355 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Mifflin St, Philadelphia, PA 19148-2017 | 2006-07-26 |
| 1508317553 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1 Mifflin St, Philadelphia, PA 19148-2017 | 2016-10-14 |
| 1215160023 | Andrea Nicole Scafetta II | Pharmacist | 1 Mifflin St, Philadelphia, PA 19148-2017 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| 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 |
|---|---|---|---|---|
| 1285126862 | Kisha Monique Blackmon | Pharmacy Technician | 5730 Woodcrest Ave, Philadelphia, PA 19131-2225 | 2018-05-31 |
| 1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
| 1003206590 | Fatima Jackson | Pharmacy Technician | 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 | 2015-02-04 |
| 1154711851 | Christina Vanburen | Pharmacy Technician | 712 Landis St, Philadelphia, PA 19124-3011 | 2015-02-02 |
| 1023408838 | Elona Gjini | Pharmacy Technician | 470 Gerhard St, Philadelphia, PA 19128-3457 | 2015-02-01 |
| 1720322670 | Tieraney Simmons | Pharmacy Technician | 4417 Richmond St, Philadelphia, PA 19137-2026 | 2012-11-15 |
| 1992096051 | Rath Sun | Pharmacy Technician | 2843 Bittern Place, Philadelphia, PA 19142 | 2011-04-25 |
| 1407073307 | Aisha Dark | Pharmacy Technician | 6008 W Thompson St, Philadelphia, PA 19151-4436 | 2007-04-20 |
| 1265657118 | Betty Beckham | Pharmacy Technician | 1949 N 32nd St, Apt. B, Philadelphia, PA 19121-1705 | 2007-04-16 |
| 1780074492 | Renee Wilson | Pharmacy Technician | 7400 Bustleton Ave, Philadelphia, PA 19152-4312 | 2015-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
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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.