AMY KUKACKA (NPI# 1194350595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194350595 |
| Entity Type | Individual |
| Full Name | AMY KUKACKA |
| Practice Address |
449 Commerce Dr Woodbury MN 55125-4872 |
| Practice Telephone | 6512391875 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1549772 | MN | Pharmacy Service Providers |
| Street Address |
449 COMMERCE DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871789123 | Alissa Paul | Physician Assistant | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2007-09-20 |
| 1043847098 | Kelsey Krause | Pharmacist | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2020-03-26 |
| 1528495397 | Brenda Deutsch | Nurse Practitioner | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2013-10-10 |
| 1437582301 | Aretha Baidoo | Pharmacist | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2013-08-15 |
| 1518254465 | Erinne Hess | Pharmacist | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2011-06-29 |
| 1013203264 | Melissa N Nord | Pharmacist | 449 Commerce Dr, T2406, Woodbury, MN 55125-4872 | 2011-06-27 |
| 1992090534 | Traci Diane Robinson | Pharmacist | 449 Commerce Dr, T-2406, Woodbury, MN 55125-4872 | 2011-06-11 |
| 1871890905 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2011-02-25 |
| 1699079483 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2011-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1346752862 | Frank L Varanko | Pharmacist | 108 Barnhill Rd, Woodbury, CT 06798-2200 | 2017-10-25 |
| 1144746090 | Kristin M Cole | Pharmacist | 415 Crossways Park Dr Ste B, Woodbury, NY 11797-2055 | 2017-08-22 |
| 1629439211 | Anne Neely | Pharmacist | 509 North Broad Street, Woodbury, NJ 08096 | 2016-03-10 |
| 1891117222 | Ereiny Farag | Pharmacist | 3 East Dr, Woodbury, NY 11797-2102 | 2014-01-21 |
| 1124378765 | Helen Chen | Pharmacist | 225 Crossways Park Dr, Woodbury, NY 11797-2054 | 2012-09-11 |
| 1104195056 | David Walter Fuhs | Pharmacist | 3647 Sunbury Dr, Woodbury, MN 55125-2840 | 2011-12-22 |
| 1073880555 | Yuen Tsai | Pharmacist | 1965 Donagel Drive, Woodbury, MN 55125 | 2011-11-28 |
| 1497031934 | Cameron John Erickson | Pharmacist | 2266 Sycamore Trl, Woodbury, MN 55125-3948 | 2011-10-28 |
| 1528343621 | Stephen W Todd | Pharmacist | 875 Burt Rd, Woodbury, TN 37190-6104 | 2011-10-20 |
| Find all providers in WOODBURY | ||||
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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.