DR. KATIE KACZMARSKI (NPI# 1164821260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164821260 |
| Entity Type | Individual |
| Full Name | DR. KATIE KACZMARSKI |
| Credential | PHARMD |
| Practice Address |
W12802 County Road A Bowler WI 54416-9551 |
| Practice Telephone | 7157934144 |
| Mailing Telephone | 7157934144 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17612 - 40 | WI | Pharmacy Service Providers |
| Street Address |
W12802 COUNTY ROAD A |
| City | BOWLER |
| State | WI |
| Zip Code | 54416-9551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063512382 | Debra Anne Safford | Nurse Practitioner | W12802 County Road A, Bowler, WI 54416-9551 | 2006-09-25 |
| 1730788555 | Seth Evans | Pharmacy | W12802 County Road A, Bowler, WI 54416-9551 | 2020-10-22 |
| 1619455607 | Krystyna Diane Ostrowski | Nurse Practitioner | W12802 County Road A, Bowler, WI 54416-9551 | 2018-08-01 |
| 1053854885 | Casey Mitchell | Dietitian, Registered | W12802 County Road A, Bowler, WI 54416-9551 | 2016-11-28 |
| 1174976179 | Sheena Spencer | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2016-07-14 |
| 1124359872 | Kristin A D'acquisto | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2010-01-20 |
| 1033440953 | Mary Rose Murray | Dietitian, Registered | W12802 County Road A, Bowler, WI 54416-9551 | 2010-01-15 |
| 1033367685 | Toni L Montez | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2008-09-08 |
| 1740438688 | Mary K Danner | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2008-09-04 |
| 1215185152 | Brandi J Hohn | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602442 | Jennifer Potts | Counselor | 6200 Excelsior Blvd Ste 204, St. Louis Park, MN 54416 | 2017-07-25 |
| 1285020701 | Donna L Powless | Counselor | W12802 Cty Hwy A, Bowler, WI 54416 | 2015-04-10 |
| 1174518385 | Thomas Paul Wargo | Chiropractor | W12802 County Highway A, Bowler, WI 54416 | 2005-09-14 |
| 1629070180 | Stockbridge Munsee Community | Clinic/Center | W12802 Cty Rd A, Bowler, WI 54416 | 2005-08-15 |
| 1720646433 | Jodie Colleen Skenandore | Counselor | W12802 County Highway A, Bowler, WI 54416 | 2019-05-29 |
| 1033677216 | Marlene B Miller | Counselor | W12802 County Highway A, Bowler, WI 54416 | 2019-03-07 |
| 1952891020 | Whitney Marie Schreiber | Registered Nurse | W12802 Cty Hwy A, Bowler, WI 54416 | 2018-05-15 |
| 1245686047 | Stockbridge Munsee Health and Wellness Center | Clinic/Center | W12802 Cty Hwy A, Bowler, WI 54416 | 2016-05-11 |
| 1013398387 | Paul Favela | Dentist | W12802 Cty Hwy A, Bowler, WI 54416 | 2015-06-12 |
| 1659767382 | Stockbridge-munsee Health and Wellness Center | Clinic/Center | W12802 County Highway A, Bowler, WI 54416 | 2015-04-09 |
| Find all providers in zip 54416 | ||||
| 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 |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
| 1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KATIE KACZMARSKI.
| 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.