DONNA MYCHASKIW (NPI# 1164590915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164590915 |
| Entity Type | Individual |
| Full Name | DONNA MYCHASKIW |
| Credential | PD,MS |
| Practice Address |
11 Abbott Farm Rd Middlebury CT 06762-1213 |
| Mailing Address |
11 Abbott Farm Rd P.o. Box 1213 Middlebury CT 06762-1213 |
| Practice Telephone | 2037589280 |
| Practice Fax Number | 2037589280 |
| Mailing Telephone | 2037589280 |
| Mailing Fax Number | 2037589280 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
6394 | CT | Pharmacy Service Providers |
| Street Address |
11 ABBOTT FARM RD |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1437423985 | Gretchen R. Cianciola | Dental Hygienist | 12 Nantucket Way, Middlebury, CT 06762 | 2012-03-01 |
| 1124395223 | Tlc Homecare LLC | Home Health | 900 Straits Tpke Ste 205, Middlebury, CT 06762 | 2011-11-18 |
| 1588893952 | Catherine Ann Accashian | Occupational Therapist | 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 | 2009-07-07 |
| 1013081819 | Waltor M Phillips | Psychologist | 415 Middlebury Road, Middlebury, CT 06762 | 2006-11-20 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1952366072 | John M Keggi | Orthopaedic Surgery | 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 | 2006-04-20 |
| 1568443125 | Stanley J Foster IIi | Plastic Surgery | 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 | 2005-11-10 |
| 1932556602 | Karissa Piedescalzo | Social Worker | 850 Straits Tpke Ste 201, Middlebury, CT 06762 | 2016-05-23 |
| Find all providers in zip 06762 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974399 | Gary Wayne Sell | Pharmacist | 333 Manley Heights Rd, Orange, CT 06477-3028 | 2005-09-29 |
| 1275192825 | Cynthia M Welchek | Pharmacist | Yale New Haven Hospital, 55 Park Street, New Haven, CT 06511 | 2019-06-07 |
| 1942403233 | Robert Anthony Quercia | Pharmacist | 80 Seymour St, Hartford, CT 06102-8000 | 2007-06-06 |
| City | MIDDLEBURY |
| Zip Code | 06762 |
Please comment or provide details below to improve the information on DONNA MYCHASKIW.
| 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.