MR. DANIEL F WIERCINSKI (NPI# 1164695961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164695961 |
| Entity Type | Individual |
| Full Name | MR. DANIEL F WIERCINSKI |
| Credential | RPH |
| Practice Address |
1580 Route 112 Medford NY 11763-3632 |
| Mailing Address |
239 Wellington Rd Mineola NY 11501-2419 |
| Practice Telephone | 6312079234 |
| Practice Fax Number | 6312079502 |
| Mailing Telephone | 5163855376 |
| Mailing Fax Number | 5162940366 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2010-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 040076 | NY | Pharmacy Service Providers |
| Street Address |
1580 ROUTE 112 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720093875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1580 Route 112, Medford, NY 11763-3655 | 2006-07-29 |
| 1437631819 | Khabiba Abduganieva | Pharmacist | 1580 Route 112, Medford, NY 11763-3655 | 2018-09-03 |
| 1003138801 | Nga Le | Pharmacist | 1580 Route 112, Medford, NY 11763-3632 | 2010-02-19 |
| 1063650521 | Katarzyna Gray | Pharmacist | 1580 Route 112, Medford, NY 11763-3655 | 2009-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| 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 |
|---|---|---|---|---|
| 1386245934 | Stephen Choi | Pharmacist | 12 Blakely Rd, Medford, MA 02155-2409 | 2020-11-02 |
| 1366084592 | Michael Kasik | Pharmacist | 701 Black Oak Dr, Medford, OR 97504-8550 | 2019-10-09 |
| 1316594898 | Christ Ange G Katche | Pharmacist | 21 College Ave Apt 1, Medford, MA 02155-4571 | 2019-08-20 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1770059537 | Kamal Kotaich | Pharmacist | 140 S Holly St Ste 1131, Medford, OR 97501-3113 | 2018-10-19 |
| 1851778211 | Kyle Mason | Pharmacist | 34 Tallowood Dr, Medford, NJ 08055-9147 | 2015-05-05 |
| 1174931331 | Justina Sokolovas | Pharmacist | 1350 Center Drive, Pharmacy Department, Medford, OR 97501 | 2014-07-31 |
| 1295152759 | Marvin Wainwright | Pharmacist | 5 Wilkins Station Rd, Suite 100, Medford, NJ 08055-9606 | 2014-03-23 |
| 1780008466 | Catherine Rimov | Pharmacist | 4449 Vista Pointe Dr, Medford, OR 97504-8084 | 2014-02-14 |
| 1992141584 | Jerry C Hood | Pharmacist | 2425 Nieto Way, Medford, OR 97504-8577 | 2013-05-22 |
| Find all providers in MEDFORD | ||||
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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.