KIRK KWACZALA (NPI# 1710396015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710396015 |
| Entity Type | Individual |
| Full Name | KIRK KWACZALA |
| Credential | PHARMD |
| Practice Address |
101 Union Ave Syracuse NY 13203-2761 |
| Mailing Address |
2 Knights Cir Baldwinsville NY 13027-8256 |
| Practice Telephone | 3154748851 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 056830 | NY | Pharmacy Service Providers |
| Street Address |
101 UNION AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124029210 | David Y Eng | Neurological Surgery | 101 Union Ave, Suite 608, Syracuse, NY 13203-2761 | 2005-08-10 |
| 1902089527 | Melissa Steria | Pharmacist | 101 Union Ave, Syracuse, NY 13203-2761 | 2007-12-06 |
| 1639250962 | Gabriela Canal | Physician Assistant | 101 Union Ave, Suite 608, Syracuse, NY 13203-2761 | 2006-10-17 |
| 1154368629 | Syracuse Urology Associates | Urology | 101 Union Ave, Ste 705, Syracuse, NY 13203-2761 | 2006-06-01 |
| 1801862933 | Jean Annie Shook | Nurse Practitioner | 101 Union Ave, Suite 801, Syracuse, NY 13203-2761 | 2006-02-28 |
| 1457347924 | Marya Gendzielewski | Internal Medicine | 101 Union Ave, Suite 809, Syracuse, NY 13203-2761 | 2005-09-21 |
| 1770579278 | Michael Bowser | Internal Medicine | 101 Union Ave, Suite 607, Syracuse, NY 13203-2761 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| 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 |
| Find all providers in SYRACUSE | ||||
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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.