JENNIFER SPATAFORA (NPI# 1790177293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790177293 |
| Entity Type | Individual |
| Full Name | JENNIFER SPATAFORA |
| Credential | PHARMD |
| Practice Address |
4810 Washington Ave Racine WI 53406-4220 |
| Practice Telephone | 2626350181 |
| Mailing Telephone | 2626350181 |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2015-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17173-40 | WI | Pharmacy Service Providers |
| Street Address |
4810 WASHINGTON AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53406-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689689739 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4810 Washington Ave, Racine, WI 53406-4220 | 2006-07-29 |
| 1144855008 | Jason Slaasted | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2020-03-11 |
| 1780218941 | Nicholas Kuroski | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2020-02-26 |
| 1114550704 | Michelle Nelson | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2020-02-21 |
| 1407489008 | Anitha Yohannan | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2020-02-21 |
| 1912330374 | Cassandra Marie Namowicz | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2013-08-20 |
| 1649618968 | Ye Aung | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2013-06-08 |
| 1770853749 | Rajeshree Singla | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2012-01-09 |
| 1740557925 | Julie Wanland | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2011-11-16 |
| 1013293737 | Jason Novak | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2011-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1174930358 | Craig John Borgardt | Pharmacist | 6520 Hidden Creek Rd, Racine, WI 53402-9403 | 2014-07-19 |
| 1184038655 | Sunday Muniz | Pharmacist | 5220 Washington Ave, Ste 101, Racine, WI 53406-4228 | 2014-06-12 |
| 1033486592 | Paul Byron Anthony | Pharmacist | 5104 Cortland Ave, Racine, WI 53406 | 2011-11-28 |
| 1407132194 | John Thomas Keil | Pharmacist | 116 Northwood Dr, Racine, WI 53402-1938 | 2011-10-26 |
| 1982926507 | Mark Edward Buhler | Pharmacist | 2211 S Green Bay Rd, Racine, WI 53406-4919 | 2010-02-23 |
| 1033115787 | Mark A. Pelton | Pharmacist | 3801 Spring St, Racine, WI 53405-1667 | 2005-06-27 |
| 1144855008 | Jason Slaasted | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2020-03-11 |
| 1780218941 | Nicholas Kuroski | Pharmacist | 4810 Washington Ave, Racine, WI 53406-4220 | 2020-02-26 |
| 1871127407 | Ngan T Le | Pharmacist | 1920 Douglas Ave, Racine, WI 53402-4614 | 2020-02-22 |
| Find all providers in RACINE | ||||
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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.