COLLIN PETROCHKO (NPI# 1518488519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518488519 |
| Entity Type | Individual |
| Full Name | COLLIN PETROCHKO |
| Credential | PHARMD |
| Practice Address |
58 Public Sq Wilkes Barre PA 18701-2610 |
| Mailing Address |
308 Cedar Manor Dr Mountain Top PA 18707-1541 |
| Practice Telephone | 5702084721 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP451468 | PA | Pharmacy Service Providers |
| Street Address |
58 PUBLIC SQ |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18701-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423518 | Tiffany Babcock | Pharmacist | 58 Public Sq, Wilkes Barre, PA 18701-2610 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878836 | Moriah M Teed | Pharmacist | 115 East Northampton St, Wilkes-barre, PA 18701 | 2020-10-12 |
| 1275164055 | Paul Thomas Stanziale | Social Worker | Children's Service Center, 335 S. Franklin St., Wilkes-barre, PA 18701 | 2020-01-30 |
| 1790211175 | Erik David Robertson | Physical Therapist | 4011 Green Pond Road, Bethlhem, PA 18701 | 2017-05-04 |
| 1063895431 | Jennifer L Schell | Nurse Practitioner | 60 Public Sq, Wilkes Barre, PA 18701 | 2015-07-03 |
| 1184051617 | Vincent L. Carolan | Counselor | 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 | 2013-09-30 |
| 1538592696 | Courtenay Jayne Mcdonough | Nurse Practitioner | 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 | 2013-08-13 |
| 1043656721 | Barbara Lynnette Hoffman | Nurse Practitioner | 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 | 2013-05-21 |
| 1518232768 | Sharon Anita Wander | Pediatrics | 47 S Washington Street, Wilkes-barre, PA 18701 | 2012-03-20 |
| 1245564780 | Judith Ann Schrepfer | Occupational Therapist | 1 East Street, Bloomsburg, PA 18701 | 2009-10-01 |
| 1841497658 | Nancy M Rodgers | Counselor | 33 East Northhampton St., Wilkes Barre, PA 18701 | 2007-06-27 |
| Find all providers in zip 18701 | ||||
| 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 |
|---|---|---|---|---|
| 1598328064 | Carol Ann Coslett | Pharmacist | 250 Old River Rd Ste B, Wilkes Barre, PA 18702-1611 | 2019-04-19 |
| 1851862239 | Kerry Lynn Lubinski | Pharmacist | 58 Public Sq # 60, Wilkes Barre, PA 18701-2610 | 2018-12-11 |
| 1568989580 | Eric Jenkins | Pharmacist | 25 Church St Fl 4, Wilkes Barre, PA 18765-0999 | 2017-08-30 |
| 1609320043 | Maura Elizabeth Gill | Pharmacist | 14 E Northampton St Ste 201, Wilkes Barre, PA 18701-2400 | 2016-08-14 |
| 1659824027 | Matthew Hadginske | Pharmacist | 1000 E Mountain Dr # Mc3406, Wilkes Barre, PA 18711-0027 | 2016-08-02 |
| 1992085450 | Corey Skula | Pharmacist | 400 Wilkes Barre Township Blvd, Wilkes Barre, PA 18702-6604 | 2011-08-27 |
| 1871880476 | John Chakan | Pharmacist | 170 Iroquois Ave, Wilkes Barre, PA 18702-7809 | 2011-07-02 |
| 1669765160 | Jacquelyn A Dwyer | Pharmacist | 155 E Northampton St, Wilkes Barre, PA 18701-3401 | 2011-05-17 |
| 1659662096 | Stanley John Viercinski | Pharmacist | 920 Wilkes Barre Township Blvd, Wilkes Barre, PA 18702-6162 | 2011-04-19 |
| 1568785111 | Barbara A Sciandra | Pharmacist | 910 Wilkes Barre Township Blvd, Wilkes Barre, PA 18702-6162 | 2010-03-10 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18701 |
Please comment or provide details below to improve the information on COLLIN PETROCHKO.
| 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.