BRIAN KUBECZKO (NPI# 1467739904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467739904 |
| Entity Type | Individual |
| Full Name | BRIAN KUBECZKO |
| Credential | RPH |
| Practice Address |
8000 Broadview Village Sq Broadview IL 60155-2601 |
| Practice Telephone | 7084102957 |
| Practice Fax Number | 7084102962 |
| Mailing Telephone | 7084102957 |
| Mailing Fax Number | 7084102962 |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051041018 | IL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 051041018 | 01 |
| Street Address |
8000 BROADVIEW VILLAGE SQ |
| City | BROADVIEW |
| State | IL |
| Zip Code | 60155-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093720203 | Walgreen Co | Pharmacy | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176121 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1915-17 W. Roosevelt Rd., Broadview, IL 60155 | 2015-02-06 |
| 1821379736 | Living Healthy Inc | Registered Nurse | 2205 W Roosevelt Road, Broadview, IL 60155 | 2011-09-06 |
| 1023324530 | Erin Reynolds | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2010-08-20 |
| 1285862490 | Patricia M Moser Od PC | Optometrist | 122-24 Broadview Village Square, Broadview, IL 60155 | 2009-06-25 |
| 1295762417 | Kiran Ram Bais | Family Medicine | 2127 S 17th Ave, Broadview, IL 60155 | 2006-06-26 |
| 1982092698 | Tiffany R Budzinski | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2015-01-05 |
| 1760789853 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2011-02-25 |
| 1083121263 | Lisa A Ufkes | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2018-01-09 |
| 1811595150 | Lisa Porter | Spec/Tech, Pathology | 2125 S 22nd Ave, Broadview, IL 60155-2807 | 2020-10-09 |
| 1871851394 | Michelle Cantave | Physical Therapist | 2016 S 24th Ave, Broadview, IL 60155-2822 | 2012-05-03 |
| Find all providers in zip 60155 | ||||
| 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 |
|---|---|---|---|---|
| 1114296415 | Michelle Gosa | Pharmacist | 2329 S 24th Ave, Broadview, IL 60155-3822 | 2011-12-16 |
| 1326322926 | Terry Vyfhuis | Pharmacist | 2522 S 16th Ave, Broadview, IL 60155-4712 | 2011-10-01 |
| 1760038731 | Jiwon Yun | Pharmacist | 1600 W Roosevelt Rd, Broadview, IL 60155-4024 | 2019-08-14 |
| 1326413352 | Brandy K Fountain | Pharmacist | 800 Broadview Village Sq, Broadview, IL 60155-4887 | 2015-12-02 |
| 1841664687 | Ashley Mathew | Pharmacist | 800 Broadview Village Sq, Broadview, IL 60155-4887 | 2015-11-17 |
| 1437594769 | Shabana Khan | Pharmacist | 800 Broadview Village Sq, T-2081, Broadview, IL 60155-4887 | 2013-04-30 |
| 1972852168 | Jason L Kay | Pharmacist | 800 Broadview Village Sq, Broadview, IL 60155-4887 | 2012-09-03 |
| 1578831897 | David Phan | Pharmacist | 1600 W Roosevelt Rd, Broadview, IL 60155-4024 | 2011-12-01 |
| 1811274285 | Chioma N Agwuncha | Pharmacist | 1600 W Roosevelt Rd, Broadview, IL 60155-4024 | 2011-11-13 |
| 1811274426 | Kanesha Kirkwood | Pharmacist | 1600 W Roosevelt Rd, Broadview, IL 60155-4024 | 2011-11-10 |
| Find all providers in BROADVIEW | ||||
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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.