DAVID ANDREJECSK (NPI# 1235611971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235611971 |
| Entity Type | Individual |
| Full Name | DAVID ANDREJECSK |
| Practice Address |
49 Pershing Dr Derby CT 06418-1406 |
| Practice Telephone | 2037361055 |
| Practice Fax Number | 2037364007 |
| Mailing Telephone | 2037361055 |
| Mailing Fax Number | 2037364007 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5480 | CT | Pharmacy Service Providers |
| Street Address |
49 PERSHING DR |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497018 | Valley Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 49 Pershing Dr, Derby, CT 06418-1406 | 2005-06-15 |
| 1669086575 | Longqian Wang | Dentist | 49 Pershing Dr, Derby, CT 06418-1406 | 2020-09-08 |
| 1588128235 | Anurag Bhargava | Dentist | 49 Pershing Dr, Derby, CT 06418-1406 | 2019-01-28 |
| 1669956124 | Silvena Petrova | Pharmacist | 49 Pershing Dr, Derby, CT 06418-1406 | 2018-09-20 |
| 1912249517 | Dr.dental of Derby P.C. | Dentist | 49 Pershing Dr, Derby, CT 06418-1406 | 2013-03-21 |
| 1437471653 | Liberty Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 49 Pershing Dr, Derby, CT 06418-1437 | 2010-02-16 |
| 1548311848 | Grade A Market Derby LLC | Durable Medical Equipment & Medical Supplies | 49 Pershing Dr, Derby, CT 06418-1406 | 2007-01-15 |
| 1417051608 | Valley Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 49 Pershing Dr, Derby, CT 06418 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| 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 |
|---|---|---|---|---|
| 1043850704 | Anna Konopka | Pharmacist | 7 Benanto Dr, Derby, CT 06418-2247 | 2020-01-10 |
| 1962810598 | Mary J Gagne | Pharmacist | 115 Seymour Drive, Wal-mart Pharmacy, Derby, VT 05829 | 2014-07-28 |
| 1972938991 | Michael Thomas Kentoski | Pharmacist | 4408 U.S. Route 5, Derby, VT 05829 | 2013-09-10 |
| 1801185830 | Richard Coutu | Pharmacist | 4408 Us Rte 5, Derby, VT 05829-0618 | 2011-03-30 |
| 1225219637 | Alan Joseph Sailer | Pharmacist | 6939 Erie Rd, Derby, NY 14047-9406 | 2007-11-14 |
| 1144434051 | Robert Charles Ianni Jr. | Pharmacist | 4408 Us Route 5, Derby, VT 05829 | 2007-05-09 |
| 1275687972 | Gary Damm | Pharmacist | 1101 N Woodlawn Blvd, Derby, KS 67037-2714 | 2007-01-22 |
| 1164461737 | William G Youngs | Pharmacist | 6914 Erie Rd, Derby, NY 14047-9665 | 2006-06-06 |
| 1104427533 | Nico Conorozzo | Pharmacist | 6939 Erie Rd, Derby, NY 14047-9406 | 2020-11-03 |
| 1326654856 | Mercedes Breann Dorsey | Pharmacist | 1101 N Rock Rd, Derby, KS 67037 | 2020-09-21 |
| Find all providers in DERBY | ||||
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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.