DR. LUCAS DOMINICK (NPI# 1306372172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306372172 |
| Entity Type | Individual |
| Full Name | DR. LUCAS DOMINICK |
| Credential | PHARM.D. |
| Practice Address |
6480 Technology Ave Ste A Kalamazoo MI 49009-8116 |
| Practice Telephone | 2692508003 |
| Mailing Telephone | 2692508003 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302040763 | MI | Pharmacy Service Providers |
| Street Address |
6480 TECHNOLOGY AVE STE A |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227375 | Tracey Miller | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-08-26 |
| 1669098398 | Optimed Health Partners Inc | Pharmacy | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-06-18 |
| 1194345868 | Christine Louise Ball | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-04-22 |
| 1689200743 | Jennifer Maria Gago | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-03-20 |
| 1003380445 | Stephanie Kay Maes | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2019-01-18 |
| 1235625831 | Teresa Nidey | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8116 | 2018-07-06 |
| 1902322431 | Ryan Gilbert Peake | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8116 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| 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 |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1396373528 | Hoai-phuong Tran | Pharmacist | 601 John St # 56, Kalamazoo, MI 49007-5341 | 2020-04-01 |
| 1700417482 | Kayla Cieslinski | Pharmacist | 2600 W Michigan Ave, Kalamazoo, MI 49006-5578 | 2020-01-30 |
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1831750272 | Julie Lyn Koller | Pharmacist | 911 Par 4 Rd, Kalamazoo, MI 49008-4923 | 2019-06-26 |
| 1265966139 | David John Robinson | Pharmacist | 1912 Autumn Crest Ln, Kalamazoo, MI 49008-4811 | 2017-04-17 |
| 1033570478 | Elisa Horosko | Pharmacist | 6740 Apple Blossom Ln, Kalamazoo, MI 49009-7483 | 2016-03-13 |
| 1558721449 | Chad Christopher Henry | Pharmacist | 154 S Kalamazoo Mall, Kalamazoo, MI 49007-4814 | 2016-03-04 |
| 1174919625 | Todd Spratt | Pharmacist | 7025 Turkey Glen Trl, Kalamazoo, MI 49009-7082 | 2015-04-11 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| Find all providers in KALAMAZOO | ||||
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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.