RONALD TA (NPI# 1477040723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477040723 |
| Entity Type | Individual |
| Full Name | RONALD TA |
| Credential | RPH |
| Practice Address |
3325 W Genesee St Syracuse NY 13219-1303 |
| Mailing Address |
1500 Brooks Ave Rochester NY 14624-3512 |
| Practice Telephone | 3154871585 |
| Enumeration Date | 2018-04-21 |
| Last Update Date | 2018-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 060409 | NY | Pharmacy Service Providers |
| Street Address |
3325 W GENESEE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13219-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912982562 | Wegmans Food Markets, Inc. | Pharmacy | 3325 W Genesee St, Attn: Pharmacy Manager, Syracuse, NY 13219-1303 | 2005-12-07 |
| 1396144929 | Matthew Zempel | Pharmacist | 3325 W Genesee St, Syracuse, NY 13219-1303 | 2014-08-20 |
| 1629327937 | Lauren Elisabeth Parkinson | Pharmacist | 3325 W Genesee St, Syracuse, NY 13219-1303 | 2012-08-31 |
| 1902152069 | Matthew Sean Dailey | Pharmacist | 3325 W Genesee St, Syracuse, NY 13219-1303 | 2012-07-26 |
| 1316261027 | Patricia Petkewec | Pharmacist | 3325 W Genesee St, Syracuse, NY 13219-1303 | 2010-03-24 |
| 1578887287 | Scott Sherwood | Pharmacist | 3325 W Genesee St, Syracuse, NY 13219-1303 | 2010-03-24 |
| 1003130717 | Tiffany Vondeak | Pharmacist | 3325 W Genesee St, Syracuse, NY 13219-1303 | 2010-03-24 |
| 1740504570 | Susan Laque | Pharmacist | 3325 W Genesee St, Syracuse, NY 13219-1303 | 2010-03-23 |
| 1205150034 | Lauren Deritter | Pharmacist | 3325 W Genesee St, Syracuse, NY 13219-1303 | 2010-03-23 |
| 1437337995 | Frank Mayosky | Pharmacist | 3325 W Genesee St, Attn: Pharmacy Manager, Syracuse, NY 13219-1303 | 2008-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| 1629549373 | Amy Elisabeth Steigerwald | Registered Nurse | 400 Walberta Rd., Syracuse, NY 13219 | 2018-12-06 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1801279732 | Podiatry Services of Central New York, PC | Podiatrist | 4623 Onondaga Blvd., Syracuse, NY 13219 | 2015-07-09 |
| 1699118893 | Christine Anne Marshall | Licensed Practical Nurse | 1604 West High Terrace, Syracuse, NY 13219 | 2013-04-08 |
| 1447596515 | Mary Lou Karrat | Social Worker | 4336 Fay Road, Syracuse, NY 13219 | 2012-12-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1053616904 | Ranz Consulting Goup | Preferred Provider Organization | 104 Watchower Ln, Syracuse, NY 13219 | 2011-01-24 |
| 1003123480 | Lisa Marie Searles | Occupational Therapist | 110 Elmtree Lane, Syracuse, NY 13219 | 2010-09-08 |
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| 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 |
|---|---|---|---|---|
| 1154979102 | Kourtnei-rae Lorraine Gondeck | Pharmacist | 6040 Tarbell Rd Ste 103, Syracuse, NY 13206-1348 | 2019-09-03 |
| 1972155265 | Daniel Faliy | Pharmacist | 406 Butternut St, Syracuse, NY 13208-2627 | 2019-07-16 |
| 1932688272 | Tori Rachel Hoffman | Pharmacist | 792 N Main St Ste 200c, Syracuse, NY 13212-1673 | 2018-08-08 |
| 1912375395 | Kama Thomas | Pharmacist | 1237 E Genesee St, Apt 1, Syracuse, NY 13210-1977 | 2015-09-02 |
| 1588052021 | Cory Ryan Villanueva | Pharmacist | 329 N Salina St Ste P, Syracuse, NY 13203-1755 | 2015-01-07 |
| 1932483781 | Toni Marie Hammer | Pharmacist | 1405 East Genesee St, Syracuse, NY 13210 | 2011-09-28 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| 1366767725 | Ramesh A Shah | Pharmacist | 22 Turnstone Cir, Syracuse, NY 13219-1555 | 2010-03-29 |
| 1871817197 | Steven M St.onge | Pharmacist | 349 Clairmonte Ave, Syracuse, NY 13207-1306 | 2010-03-15 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
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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.