DR. CASSIDY LEIGH DZENOWSKI (NPI# 1386897197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386897197 |
| Entity Type | Individual |
| Full Name | DR. CASSIDY LEIGH DZENOWSKI |
| Credential | PHARM.D |
| Practice Address |
1901 S 1st St Temple TX 76504-7451 |
| Mailing Address |
601 Twin Oaks Dr Apt 1502 Temple TX 76504-2148 |
| Practice Telephone | 2547431719 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
46788 | TX | Pharmacy Service Providers |
| Street Address |
1901 S 1ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332858 | Lindsey Theda | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-09-28 |
| 1003441890 | Ethan Suh | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-03-11 |
| 1598309759 | Kayla A Bunn | Registered Nurse | 1901 S 1st St, Temple, TX 76504-7451 | 2019-10-31 |
| 1720630478 | Samrat Shrestha | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2019-07-12 |
| 1396203725 | Latasha T Merkerson-miller | Counselor | 1901 S 1st St, Temple, TX 76504-7451 | 2019-03-05 |
| 1205305075 | Paul Lanciault | Orthotist | 1901 S 1st St, Temple, TX 76504-7451 | 2018-11-21 |
| 1790278497 | Shaylise Ellis | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2018-06-07 |
| 1558874131 | Kellyn Marie Czajkowski | Dietitian, Registered | 1901 S 1st St, Temple, TX 76504-7451 | 2017-11-06 |
| 1124553805 | Stephanie Carter | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2017-05-01 |
| 1578013835 | Steven Braun | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822895 | Richard Chen Wong | Pharmacist | 2401 S 31st St # Ms -01055, Temple, TX 76508-0001 | 2020-05-14 |
| 1316361041 | Natalie Ann Hudec | Pharmacist | 6014 Wooded Creek Cv, Temple, TX 76502-7957 | 2014-02-17 |
| 1881856581 | Robin Xan Janiga | Pharmacist | 4236 Lowes Dr, Suite 100, Temple, TX 76502-3517 | 2008-06-25 |
| 1871768440 | Kimberly Alfred | Pharmacist | 2501 S 31st St, Pavilion, Temple, TX 76508-0001 | 2008-04-24 |
| 1598374142 | Nathaniel Thomas Baker V | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-29 |
| 1386122125 | Haemy Chung | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2018-08-03 |
| 1053805606 | Ashir Shumunov | Pharmacist | 2002 Scott Blvd, Temple, TX 76504-6900 | 2018-06-18 |
| 1588190888 | Sarah Klembith | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2017-05-04 |
| 1760851042 | Brendon Hughes Hogan | Pharmacist | 1901 Veterans Memorial Dr, 119t, Temple, TX 76504-7451 | 2015-09-17 |
| 1497178941 | John Robert Wilson Jr. | Pharmacist | 1206 W Campus Dr, Temple, TX 76502-7124 | 2014-02-03 |
| Find all providers in TEMPLE | ||||
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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.