DR. CHARLES ANTHONY BACZEK (NPI# 1659753895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659753895 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ANTHONY BACZEK |
| Credential | PHARM.D |
| Practice Address |
4200 Portsmouth Blvd Chesapeake VA 23321-2100 |
| Practice Telephone | 7574658618 |
| Mailing Telephone | 7574658618 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2016-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202214025 | VA | Pharmacy Service Providers |
| Street Address |
4200 PORTSMOUTH BLVD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487616637 | Chiming Cheung | Optometrist | 4200 Portsmouth Blvd, Ste 49, Chesapeake, VA 23321-2100 | 2006-04-04 |
| 1982094439 | Donielle Nyberg | Pharmacy Technician | 4200 Portsmouth Blvd, Chesapeake, VA 23321-2100 | 2015-02-04 |
| 1790175255 | Kristin Yannessa | Pharmacy Technician | 4200 Portsmouth Blvd, Chesapeake, VA 23321-2100 | 2015-02-04 |
| 1669862132 | Angela Gilchrist | Pharmacy Technician | 4200 Portsmouth Blvd, Chesapeake, VA 23321-2100 | 2015-02-04 |
| 1104171727 | Rebecca Ware | Pharmacist | 4200 Portsmouth Blvd, Target Pharmacy, Chesapeake, VA 23321-2100 | 2012-07-19 |
| 1134496847 | Beach Family Eyecare PC | Optometrist | 4200 Portsmouth Blvd, Ste 49, Chesapeake, VA 23321-2100 | 2011-11-23 |
| 1659666121 | Gale Eugenia Williams | Pharmacist | 4200 Portsmouth Blvd, Chesapeake, VA 23321-2100 | 2011-06-13 |
| 1215222849 | David Arserio | Pharmacist | 4200 Portsmouth Blvd, Chesapeake, VA 23321-2100 | 2011-06-11 |
| 1073807806 | James Chufo | Pharmacist | 4200 Portsmouth Blvd, Chesapeake, VA 23321-2100 | 2011-06-09 |
| 1316149503 | Edward Nash | Audiologist-Hearing Aid Fitter | 4200 Portsmouth Blvd, Chesapeake, VA 23321-2100 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| 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 |
|---|---|---|---|---|
| 1851991665 | Kaven Duong | Pharmacist | 1825 Quivers Keep, Chesapeake, VA 23321-1439 | 2020-10-30 |
| 1265062566 | Franklin Yambao | Pharmacist | 805 Kent Pl Ste B, Chesapeake, VA 23320-0768 | 2020-01-25 |
| 1942771928 | Mitchell Dean Lucy | Pharmacist | 505 Miami Dr, Chesapeake, VA 23323-6682 | 2018-12-17 |
| 1467969741 | Karen Jenkins | Pharmacist | 838 Old George Washington Hwy N Ste N, Chesapeake, VA 23323-2209 | 2018-01-08 |
| 1326557869 | Hannah L Hill | Pharmacist | 1653 Sentinel Dr, Chesapeake, VA 23320-4466 | 2017-09-27 |
| 1235590878 | Baffour Agyare | Pharmacist | 94 Private Drive 11202, Chesapeake, OH 45619-7013 | 2016-03-09 |
| 1669843066 | Laura Norris | Pharmacist | 700 Sabal Palm Ln Apt 307, Chesapeake, VA 23320-1745 | 2015-10-12 |
| 1336549492 | Maysoon Ababneh | Pharmacist | 1001 Poquoson Xing, Chesapeake, VA 23320-0666 | 2014-08-26 |
| 1033522164 | Maunaben Patel | Pharmacist | 2644 Roadside Ln, Chesapeake, VA 23325-4654 | 2014-06-05 |
| 1255615886 | Vera Roberts Jackson | Pharmacist | 321 Battlefield Blvd. South, Chesapeake, VA 23322 | 2011-09-30 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on DR. CHARLES ANTHONY BACZEK.
| 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.