JESSICA KOTSCHEGAROW


Address: 2100 Broadway Ave, Yankton, SD 57078-1705
Phone: 6056653412

JESSICA KOTSCHEGAROW (NPI# 1972102952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972102952
Entity Type Individual
Full Name JESSICA KOTSCHEGAROW
Practice Address 2100 Broadway Ave
Yankton
SD 57078-1705
Practice Telephone 6056653412
Enumeration Date 2020-10-21
Last Update Date 2020-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
6783 SD Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
509 Applewood Dr, Yankton, SD 570785136 6056616003

Office Location

Street Address 2100 BROADWAY AVE
City YANKTON
State SD
Zip Code 57078-1705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114914041 Kim Yvette Kortje Pharmacist 2100 Broadway Ave, Yankton, SD 57078-1705 2005-10-05
1700485141 Emily Jo Vitek Pharmacist 2100 Broadway Ave, Yankton, SD 57078-1705 2020-10-17
1164020699 Dana M List Pharmacist 2100 Broadway Ave, Yankton, SD 57078-1705 2020-10-16
1407491624 Kaitlyn Lee Tusha Dietitian, Registered 2100 Broadway Ave, Yankton, SD 57078-1705 2019-11-12
1467908046 Elizabeth Volzke Dietitian, Registered 2100 Broadway Ave, Yankton, SD 57078-1705 2016-09-01
1770806234 Leah Kae Rempfer Pharmacist 2100 Broadway Ave, Yankton, SD 57078-1705 2010-03-11
1124104542 Shona Jussel Pharmacist 2100 Broadway Ave, Yankton, SD 57078-1705 2006-10-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033719661 Jime Lynne Rivera Psychiatry & Neurology 708 E 21st Street, Yankton, SD 57078 2020-11-01
1043617210 Kenneth Tomek Dietitian, Registered 2100 Broadway St, Yankton, SD 57078 2014-12-03
1932530276 Jacqueline Ann Kelley Nurse Practitioner 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 2013-12-12
1124363130 Susan Kay Taecker Occupational Therapist 1502 Jo Ln, Yankton, SD 57078 2012-12-02
1295865178 Dr Jon C Baumann Dds PC Dentist 809 Belfast Street, Yankton, SD 57078 2007-03-07
1306989090 Gregory Scott Erickson Internal Medicine 501 Summit, Yankton, SD 57078 2007-02-14
1104976356 Pine Lane Estates LLC Assisted Living Facility 2905 Douglas Ave, Yankton, SD 57078 2007-01-11
1518029917 Teresa M Henrickson Counselor 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 2006-12-14
1396805016 Joseph G Blackinton Psychologist Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 2006-12-11
1942383468 Deborah Jean Kachena Social Worker 610 W 23rd Street, Yankton, SD 57078 2006-10-21
Find all providers in zip 57078

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689191363 Ryan Anthony Waybright Pharmacist Po Box 5045, Sioux Falls, SD 57117-5045 2017-08-24
1699914523 Timothy John Dodson Pharmacist 21633 Custer Trl, Nemo, SD 57759-7609 2009-02-17
1790383479 Heather Opdahl Pharmacist Hy-vee Pharmacy, 1320 9th Ave Se, Watertown, SD 57201 2020-10-14
1043845829 Susan Mary Burbach Pharmacist 525 W Cherry St, Vermillion, SD 57069-1141 2020-03-11
1871137083 Brandon David Hubert Pharmacist 2501 W 22nd St, Sioux Falls, SD 57105-1305 2019-10-30
1972159101 Harrison Charles Johnson Pharmacist 113 Comanche Rd, Fort Meade, SD 57741-1002 2019-08-13
1124510771 Cassie M Schmidt Pharmacist 500 N 5th St, Hot Springs, SD 57747-1480 2018-05-30
1902314990 Robert Sayles Pharmacist 2501 W 22nd St, Sioux Falls, SD 57105-1305 2018-01-12
1710493507 Karen M Richart Pharmacist 1730 N Garfield Ave, Pierre, SD 57501-5507 2017-12-16
1790297620 Ashley Pederson Pharmacist 113 Comanche Rd, Fort Meade, SD 57741-1002 2017-11-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City YANKTON
Zip Code 57078

Improve Information

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Dataset Information

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.

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