PATRICK GONCZAR (NPI# 1790210326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790210326 |
| Entity Type | Individual |
| Full Name | PATRICK GONCZAR |
| Practice Address |
57 N Howard Ave Croswell MI 48422-1222 |
| Practice Telephone | 8106793900 |
| Practice Fax Number | 8106794154 |
| Mailing Telephone | 8106793900 |
| Mailing Fax Number | 8106794154 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302029185 | MI | Pharmacy Service Providers |
| Street Address |
57 N HOWARD AVE |
| City | CROSWELL |
| State | MI |
| Zip Code | 48422-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831144575 | Ehardt's Advanced Care Pharmacy & Medical Supplies | Durable Medical Equipment & Medical Supplies | 57 N Howard Ave, Croswell, MI 48422-1222 | 2006-05-23 |
| 1376029678 | Brian Linne | Pharmacist | 57 N Howard Ave, Croswell, MI 48422-1222 | 2018-07-19 |
| 1568617199 | Raymond J Emond | Pharmacist | 57 N Howard Ave, Croswell, MI 48422-1222 | 2008-11-24 |
| 1710093208 | Todd J Hook | Pharmacist | 57 N Howard Ave, Croswell, MI 48422-1222 | 2006-08-21 |
| 1194740464 | Ehardt's Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 57 N Howard Ave, Croswell, MI 48422-1222 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891720843 | James Patrick Ward | Dentist | 47 S Howard Ave, Croswell, MI 48422 | 2006-07-11 |
| 1629030879 | Thomas S Mullally | Family Medicine | 5525 E Peck Rd, Croswell, MI 48422 | 2006-04-04 |
| 1467414227 | Loretta A Mullally | General Practice | 5525 E Peck Rd, Croswell, MI 48422 | 2006-04-05 |
| 1417322348 | Angela Vallee | Dental Hygienist | 118 Wells St, Croswell, MI 48422-1142 | 2015-12-03 |
| 1477841021 | Sherri Metevier | Counselor | 51 Brown St Ste 6, Croswell, MI 48422-1159 | 2011-07-18 |
| 1245389352 | Jonathan Sison Del Rosario | Physical Therapist | 51 Brown St Ste 5, Croswell, MI 48422-1159 | 2007-01-09 |
| 1477580736 | Advantage Counseling and Educational Services, Inc. | Case Management | 51 Brown St, Suite 6, Croswell, MI 48422-1159 | 2006-06-26 |
| 1295990430 | Crystal Elaine Bell | Social Worker | 51 Brown St, Ste. 6, Croswell, MI 48422-1159 | 2008-07-28 |
| 1043479975 | Rebecca A Leipprandt | Social Worker | 51 Brown St, Ste. 6, Croswell, MI 48422-1159 | 2008-06-05 |
| 1275792103 | Joann Landosky | Social Worker | 51 Brown St, Ste. 6, Croswell, MI 48422-1159 | 2008-06-05 |
| Find all providers in zip 48422 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
| 1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
| 1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
| 1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
| 1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
| 1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
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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.