KEN WIELGOPOLSKI


Address: 1015 N Vine St, Berwick, PA 18603-2025
Phone: 5708020160

KEN WIELGOPOLSKI (NPI# 1275000424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275000424
Entity Type Individual
Full Name KEN WIELGOPOLSKI
Credential RPH
Practice Address 1015 N Vine St
Berwick
PA 18603-2025
Mailing Address 1862 Steel St
Berwick
PA 18603-2548
Practice Telephone 5708020160
Mailing Telephone 5702040464
Enumeration Date 2018-10-25
Last Update Date 2018-10-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RP040286L PA Pharmacy Service Providers

Office Location

Street Address 1015 N VINE ST
City BERWICK
State PA
Zip Code 18603-2025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396819827 Care First Pharmacy Services LLC Pharmacy 1015 N Vine St, Berwick, PA 18603-2025 2006-11-17
1669949228 Robert Kitonyo Pharmacist 1015 N Vine St, Berwick, PA 18603-2025 2018-10-31
1932675618 Stanley Mark Makowski Pharmacist 1015 N Vine St, Berwick, PA 18603-2025 2018-10-19
1801362504 Gary M Szilagyi Pharmacist 1015 N Vine St, Berwick, PA 18603-2025 2018-10-19
1083180756 Keith Steven Armson Pharmacist 1015 N Vine St, Berwick, PA 18603-2025 2018-10-19
1376025924 Patrick Michael Wielgopolski Pharmacist 1015 N Vine St, Berwick, PA 18603-2025 2018-08-30
1326537929 Healthdirect Institutional Pharmacy Services, Inc. Pharmacy 1015 N Vine St, Berwick, PA 18603-2025 2018-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184267841 Eugene W Moisey Dental Hygienist 107 S. Market St, Suite #2, Berwick, PA 18603 2019-10-24
1831571413 Wyoming Valley Alchol and Drug Services, Inc. Counselor 120 East Third Street, Berwick, PA 18603 2015-06-19
1639592942 Julia Grocki Dietitian, Registered 203 E Front St, Berwick, PA 18603 2014-01-23
1144507856 Ashley Linn Reese Occupational Therapy Assistant 801 East 16th Street, Berwick, PA 18603 2011-11-09
1477758407 Bloomsburg Physicians Services Family Medicine 101 West 9th Street, Berwick, PA 18603 2007-06-19
1659591956 David Curfman Physical Therapist 1701 Fowler Avenue, Berwick, PA 18603 2007-04-27
1538287537 Dental Health Clinic Dentist 107 South Market Street, Suite 2, Berwick, PA 18603 2007-03-27
1285724203 Frank J Giugliano Family Medicine 523 Fowler Avenue, Berwick, PA 18603 2006-10-13
1265522098 Maliyakkal J John Internal Medicine 1453 West Front St, Berwick, PA 18603 2006-10-13
1861586497 Niharika Mehta Obstetrics & Gynecology 695 East 16th Street, Suite E, Berwick, PA 18603 2006-10-03
Find all providers in zip 18603

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568785459 Joshua James Clark Pharmacist 131 Columbia Avenue, Berwick, PA 18603-2001 2010-03-05
1932320686 Anne M. Picard Pharmacist 4 Dana Drive, Berwick, ME 03901 2007-05-01
1659458982 John T Kozlowski Pharmacist 1205 Chestnut St, Berwick, PA 18603-2234 2006-11-01
1811598634 Mark Patrick Hess Pharmacist 50 Briar Creek Plz, Berwick, PA 18603-4100 2020-11-06
1528608742 Marina Abdelmalek Pharmacist 1205 Chestnut St, Berwick, PA 18603-2234 2020-01-15
1851932065 Elizabeth Anne Ray Pharmacist 2200 W Front St, Berwick, PA 18603-4106 2019-09-30
1932740099 Thomas Macri Pharmacist 50 Briar Creek Plz, Berwick, PA 18603-4100 2019-09-30
1699320986 Kellie Palko Pharmacist 1205 Chestnut St, Berwick, PA 18603-2234 2019-08-05
1437628146 Joseph Millard Lawall Pharmacist 1205 Chestnut St, Berwick, PA 18603-2234 2018-11-26
1669949228 Robert Kitonyo Pharmacist 1015 N Vine St, Berwick, PA 18603-2025 2018-10-31
Find all providers in BERWICK

Competitor

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City BERWICK
Zip Code 18603

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Dataset Information

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.

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