JEFFREY JOHN WIECZOREK (NPI# 1316350887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316350887 |
| Entity Type | Individual |
| Full Name | JEFFREY JOHN WIECZOREK |
| Credential | B.S. |
| Practice Address |
9416 Wildwood Lake Dr Whitmore Lake MI 48189-9430 |
| Practice Telephone | 7344498706 |
| Practice Fax Number | 7344498706 |
| Mailing Telephone | 7344498706 |
| Mailing Fax Number | 7344498706 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302032120 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5302032120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093835654 | Jeffrey Wieczorek | Occupational Therapist | 8619 S Howell Ave, Oak Creek, WI 53154-2919 | 2007-03-29 |
| Street Address |
9416 WILDWOOD LAKE DR |
| City | WHITMORE LAKE |
| State | MI |
| Zip Code | 48189-9430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589839 | Emily Christine Grammel | Pharmacist | 7488 Village Center Drive, Whitmore Lake, MI 48189 | 2020-02-05 |
| 1992257414 | Joan Elizabeth Wolfe Stauffer | Contractor | 9604 Palmer, Whitmore Lake, MI 48189 | 2016-11-01 |
| 1427301621 | Alissa Erin Ricard | Occupational Therapist | 9345 Harbor Cove Circle, Apt 241, Whitmore Lake, MI 48189 | 2012-10-25 |
| 1033374319 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 7488 Village Center Dr., Whitmore Lake, MI 48189 | 2008-07-25 |
| 1891957809 | Carrie Anne Steeves-braun | Occupational Therapist | 1930 Whitmore Lake Rd #1, Whitmore Lake, MI 48189 | 2008-06-30 |
| 1427100908 | Richard Keith Isgrigg | Dentist | 7012 East M-36, Whitmore Lake, MI 48189 | 2007-01-17 |
| 1588732853 | Alison J Barnett | Physical Therapist | 11930 Whitmore Lake Rd., Suite I-m, Whitmore Lake, MI 48189 | 2006-12-02 |
| 1376732537 | Kerry Kathleen Hurley | Speech-Language Pathologist | 11930 Whitmore Lake Rd., Suite I-m, Whitmore Lake, MI 48189 | 2007-10-23 |
| 1700946142 | Carrie Renee Jacobs | Occupational Therapist | 11930 Whitmore Lake Rd., Suite I-m, Whitmore Lake, MI 48189 | 2006-12-08 |
| 1578621330 | Eileen Barbara Somers | Occupational Therapist | 11930 Whitmore Lake Rd., Suite I-m, Whitmore Lake, MI 48189 | 2006-12-05 |
| Find all providers in zip 48189 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1407396831 | Michael Keller | Pharmacist | 6329 Red Rock Ct, Norton Shores, MI 49444-8794 | 2017-03-04 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
| 1124431879 | Ann E Ziel | Pharmacist | 2799 10 Mile Rd Ne # Rde, Rockford, MI 49341-9100 | 2014-06-10 |
| 1467863993 | Tom Zoyiopoulos | Pharmacist | 1201 Lears, Indian River, MI 49749 | 2014-05-19 |
| 1063823698 | Waqas Akhtar | Pharmacist | 316 N Drake Rd, Kalamazoo, MI 49009-1106 | 2014-05-16 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| Find all providers with the same taxonomy | ||||
| City | WHITMORE LAKE |
| Zip Code | 48189 |
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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.