MR. BRUCE JAMES MODEN (NPI# 1467868794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467868794 |
| Entity Type | Individual |
| Full Name | MR. BRUCE JAMES MODEN |
| Credential | RPH |
| Practice Address |
6344 Transit Rd Depew NY 14043-1031 |
| Mailing Address |
305 Jewett Holmwood Rd East Aurora NY 14052-2154 |
| Practice Telephone | 7166839444 |
| Practice Fax Number | 7166839425 |
| Mailing Telephone | 7166553532 |
| Mailing Fax Number | 7166553532 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 00022002 | NY | Pharmacy Service Providers |
| Street Address |
6344 TRANSIT RD |
| City | DEPEW |
| State | NY |
| Zip Code | 14043-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360602 | James Andrew Walsh | Pharmacist | 6344 Transit Rd, Depew, NY 14043-1031 | 2005-07-20 |
| 1891101176 | Jennifer Carrie Rivera | Pharmacist | 6344 Transit Rd, Depew, NY 14043-1031 | 2014-07-07 |
| 1639411242 | Sarah E Goral | Pharmacist | 6344 Transit Rd, Depew, NY 14043-1031 | 2013-03-21 |
| 1740415538 | Jennifer Kilmer | Pharmacist | 6344 Transit Rd, Depew, NY 14043-1031 | 2009-05-21 |
| 1518058106 | Moden-giroux Inc | Pharmacy | 6344 Transit Rd, Depew, NY 14043-1031 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117016 | Jennifer Wojcik | Specialist | 2049 George Urban Blvd., Depew, NY 14043 | 2019-08-01 |
| 1437628674 | Kelsey Marie Adams | Student in an Organized Health Care Education/Training Program | 171 Kokomo St. Apt 4, Depew, NY 14043 | 2018-11-16 |
| 1316425523 | Katherine Kolarczyk | Occupational Therapist | 2039 George Urban Boulevard, Depew, NY 14043 | 2018-07-31 |
| 1548786387 | Christina Sobieski | Specialist | 458 Dick Rd, Apt. B2, Depew, NY 14043 | 2017-08-14 |
| 1811418825 | Erin Kathleen Paone | Physician Assistant | 6337 Transit Rd, Depew, NY 14043 | 2017-06-29 |
| 1003350349 | Restoration Salon and Spa | Point of Service | 425 French Road, Depew, NY 14043 | 2016-12-06 |
| 1336525104 | Erica Janette Weber | Pharmacist | 236 Zurbrick Rd, Depew, NY 14043 | 2015-08-04 |
| 1205218781 | Ryan Edwin Knolhoff | Physical Therapy Assistant | 44 A Street, Depew, NY 14043 | 2015-06-22 |
| 1609297563 | Christine Lee Bartkowiak | Pharmacist | 4975 Transit Road, Depew, NY 14043 | 2013-12-19 |
| 1336499656 | Jennifer Warrington | Pharmacist | 124 Taylor Road, Depew, NY 14043 | 2012-09-13 |
| Find all providers in zip 14043 | ||||
| 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 |
|---|---|---|---|---|
| 1336525104 | Erica Janette Weber | Pharmacist | 236 Zurbrick Rd, Depew, NY 14043 | 2015-08-04 |
| 1609297563 | Christine Lee Bartkowiak | Pharmacist | 4975 Transit Road, Depew, NY 14043 | 2013-12-19 |
| 1336499656 | Jennifer Warrington | Pharmacist | 124 Taylor Road, Depew, NY 14043 | 2012-09-13 |
| 1780992354 | Christopher Kin Poon | Pharmacist | 6000 Transit Rd, Depew, NY 14043-1530 | 2010-09-16 |
| 1164744421 | Jane C Ringle | Pharmacist | 9 Christophel Dr, Depew, NY 14043-1613 | 2010-02-26 |
| 1649452970 | Anthony Joseph Scello | Pharmacist | 4779 Transit Rd, Depew, NY 14043-4915 | 2007-11-28 |
| 1649459710 | Loretta Teresa Dirienzo | Pharmacist | 4975 Transit Rd, Depew, NY 14043-4617 | 2007-10-25 |
| 1366635773 | Colleen Melewski | Pharmacist | 124 Taylor Dr, Depew, NY 14043-2015 | 2007-08-20 |
| 1881711737 | Kevin S Kiefer | Pharmacist | 1460 French Rd, Depew, NY 14043-4879 | 2007-03-24 |
| 1205935954 | Terri A Pierino | Pharmacist | 4777 Transit Rd, Depew, NY 14043-4772 | 2006-09-21 |
| Find all providers in DEPEW | ||||
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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.