MR. JOHN MICHAEL GWIAZDA (NPI# 1790017994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790017994 |
| Entity Type | Individual |
| Full Name | MR. JOHN MICHAEL GWIAZDA |
| Credential | R.PH |
| Practice Address |
111 Main St Southampton NY 11968-4810 |
| Mailing Address |
Po Box 185 Greenport NY 11944-0185 |
| Practice Telephone | 6312834251 |
| Mailing Telephone | 5164466050 |
| Mailing Fax Number | 6314773416 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 28RI01393600 | NJ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 053415 | NY | Pharmacy Service Providers |
| Street Address |
111 MAIN ST |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11968-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326578063 | Reepa Patel | Pharmacist | 111 Main St, Southampton, NY 11968-4810 | 2017-06-15 |
| 1396137493 | Brian Diehl | Pharmacist | 111 Main St, Southampton, NY 11968-4810 | 2015-02-26 |
| 1942522776 | Leonard Jay Fagen | Pharmacist | 111 Main St, Southampton, NY 11968-4810 | 2010-02-21 |
| 1851494686 | Cvs Albany LLC | Pharmacy | 111 Main St, Southampton, NY 11968-4810 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
| 1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
| 1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
| 1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
| 1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
| 1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
| 1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
| Find all providers in zip 11968 | ||||
| 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 |
|---|---|---|---|---|
| 1598295396 | Wadim Timakov | Pharmacist | 78 White Loaf Rd, Southampton, MA 01073-9550 | 2017-06-14 |
| 1144597345 | Jodi Marie Miguel | Pharmacist | 690 Second Street Pike, Southampton, PA 18966-3943 | 2011-11-16 |
| 1336437862 | Albina Bril | Pharmacist | 4503 Bennett Pl, Southampton, PA 18966-5554 | 2011-07-18 |
| 1295052546 | John Joseph Malizia Sr. | Pharmacist | 410 Second Street Pike, Southampton, PA 18966-3814 | 2010-04-27 |
| 1427374958 | John Joseph Sherbin | Pharmacist | 410 2nd Street Pike, Southampton, PA 18966-3814 | 2010-04-08 |
| 1942532247 | Andrew Henry Kowal | Pharmacist | 153 Pomeroy Meadow Rd, R, Southampton, MA 01073-9331 | 2010-02-11 |
| 1023249711 | Rebecca Dubay | Pharmacist | 14 College Hwy, Southampton, MA 01073-9406 | 2009-07-29 |
| 1043492465 | Marcus R Schilt | Pharmacist | 82 Nugent St, Southampton, NY 11968-4816 | 2007-11-27 |
| 1306827845 | Jane F Gorman | Pharmacist | 219 Noyac Rd, Southampton, NY 11968-1440 | 2005-11-10 |
| 1669097234 | Kathryn Leann Kiker | Pharmacist | 928 Jaymor Rd Ste A200, Southampton, PA 18966-3841 | 2020-06-10 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
Please comment or provide details below to improve the information on MR. JOHN MICHAEL GWIAZDA.
| 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.