DEANNA PHOENIX (NPI# 1811371610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811371610 |
| Entity Type | Individual |
| Full Name | DEANNA PHOENIX |
| Credential | PHARM.D |
| Practice Address |
Elm & Carlton Streets, Main Hospital Roswell Park Cancer Institute Buffalo NY 14623 |
| Mailing Address |
Roswell Park Cancer Institute Elm and Carlton St, Main Hospital Buffalo NY 14263-0001 |
| Practice Telephone | 7168454046 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
052927 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PHARMACY LICENSE | 052927 | 01 |
| Street Address |
ELM & CARLTON STREETS, MAIN HOSPITAL ROSWELL PARK CANCER INSTITUTE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| 1609286103 | Rosemary Awuor | Nursing Home Administrator | 325 W Squire Dr, Apt 5, Rochester, NY 14623 | 2014-05-06 |
| Find all providers in zip 14623 | ||||
| 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 |
|---|---|---|---|---|
| 1295087872 | Alice C. Ceacareanu | Pharmacist | Elm and Carlton, Outpatient Leukemia Clinic, Buffalo, NY 14260-0001 | 2012-10-08 |
| 1023388535 | Ashley Nichole Webb | Pharmacist | 315 Hochstetter Hall, Ub School of Pharmacy North Campus, Buffalo, NY 14260-1200 | 2012-01-01 |
| 1992322622 | Michael Thomas Carter | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2020-06-29 |
| 1710500277 | Calvin James Meaney | Pharmacist | 462 Grider St, Buffalo, NY 14215-3098 | 2020-05-19 |
| 1235751611 | Ub | Pharmacist | 3435 Main Street, D17 Michael Hall, Buffalo, NY 14214 | 2020-05-08 |
| 1013566710 | Alicia Derosa | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2019-09-05 |
| 1881193100 | Jenna Covelli | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2018-02-02 |
| 1588180053 | Collin Matthew Clark | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2017-08-16 |
| 1053836858 | Brandon James Wolski | Pharmacist | 2101 Elmwood Ave, Buffalo, NY 14207-1908 | 2017-08-14 |
| 1437697018 | Joseph Anthony Morganti | Pharmacist | 2157 Main St, Buffalo, NY 14214-2648 | 2017-02-03 |
| Find all providers in BUFFALO | ||||
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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.