MR. JERROLD WILLIAM DUSHAW


Address: 3495 Bailey Avenue, Va Western New York, Buffalo, NY 14215-1199
Phone: 7168349200

MR. JERROLD WILLIAM DUSHAW (NPI# 1023042553) 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) 1023042553
Entity Type Individual
Full Name MR. JERROLD WILLIAM DUSHAW
Credential RPH
Practice Address 3495 Bailey Avenue
Va Western New York
Buffalo
NY 14215-1199
Mailing Address 5401 Old Lake Shore Rd
Lake View
NY 14085-9751
Practice Telephone 7168349200
Practice Fax Number 7168626348
Mailing Telephone 7166273543
Mailing Fax Number 7168626348
Enumeration Date 2006-07-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
044167-1 NY Pharmacy Service Providers

Office Location

Street Address 3495 BAILEY AVENUE
VA WESTERN NEW YORK
City BUFFALO
State NY
Zip Code 14215-1199

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720253057 Donna M Rokitka Dental Assistant 3495 Bailey Avenue, Buffalo, NY 14215 2008-04-28
1477741809 Michael J Miello Clinical Neuropsychologist 3495 Bailey Avenue, Buffalo, NY 14215 2007-10-10
1104925288 N Ann Hollenberg Podiatrist 3495 Bailey Avenue, Veterans Administration Hospital, Buffalo, NY 14215 2006-09-22
1063511152 Eddie Skipper Sr. Internal Medicine 3495 Bailey Avenue, Buffalo, NY 14215 2006-09-22
1124126453 Donna M Leigh Social Worker 3495 Bailey Avenue, Buffalo, NY 14215 2006-09-20
1164432464 Ruben Cartagena Urology 3495 Bailey Avenue, Buffalo, NY 14215-1199 2006-08-09
1174541122 Veena Manja Internal Medicine 3495 Bailey Avenue, Va Western New York Health Care System, Buffalo, NY 14215 2006-07-18
1942235882 Barbara Ann Leisner Occupational Therapist 3495 Bailey Avenue, Va Western New York Healthcare System, Buffalo, NY 14215 2006-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497366413 Krista Lea Marita Koskinen Student in an Organized Health Care Education/Training Program 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 2020-08-13
1851919112 Temitope Oluwaseun Ajayi Student in an Organized Health Care Education/Training Program 132 Affinity Lane, Buffalo, NY 14215 2020-07-13
1134741986 Alexandra Lucia Tibil Student in an Organized Health Care Education/Training Program 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 2020-05-15
1093336646 Sanjeevani Tomar Student in an Organized Health Care Education/Training Program University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 2020-05-05
1982225926 Rohan Pandey Student in an Organized Health Care Education/Training Program 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 2020-04-30
1235759911 Michael William O'donnell Student in an Organized Health Care Education/Training Program Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 2020-04-22
1780204883 Ishwor Sharma Student in an Organized Health Care Education/Training Program Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 2020-04-20
1174142632 Salman Masood Student in an Organized Health Care Education/Training Program 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 2020-04-14
1730718354 Charles Feng Hua Zhang Student in an Organized Health Care Education/Training Program Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 2020-04-06
1700415650 Joseph Charles L'huillier Student in an Organized Health Care Education/Training Program General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 2020-04-03
Find all providers in zip 14215

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376998377 Kalpesh Jyoti Desai Pharmacist 345 Abbott Hall, University At Buffalo Suny, Buffalo, NY 14214 2016-04-27
1891127924 Erin M Slazak Pharmacist 210 Kapoor Hall, Buffalo, NY 14214 2013-07-31
1972876514 Nicholas Matthew Fusco Pharmacist 203 Kapoor Hall, Buffalo, NY 14221 2012-02-13
1003849811 Lisa Marie Emiliani Pharmacist 4395 Bailey Ave, Buffalo, NY 14215 2006-07-08
1164967964 Adinoyi Omeiza Garba Pharmacist 320 Porter Ave, Dac 325 (pharmacy Practice Suite), Buffalo, NY 14201-1032 2017-01-03
1427408517 Angela Renee Borton Pharmacist 462 Grider St, Department of Pharmacy, Buffalo, NY 14215-3021 2016-06-20
1124396239 Melissa S Baxter Pharmacist 726 Exchange St, Buffalo, NY 14210-1484 2011-12-03
1265710453 John Robert Hart Pharmacist 565 Abbott Rd, Buffalo, NY 14220-2039 2011-07-22
1154618148 Michael C Ott Pharmacist 462 Grider St, Buffalo, NY 14215-3021 2011-06-29
1629379086 William Loeffler Pharmacist 1083 Delaware Ave, Buffalo, NY 14209-1635 2010-11-16
Find all providers in BUFFALO

Competitor

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City BUFFALO
Zip Code 14215

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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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