CHESTER G KACZOR (NPI# 1023145620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023145620 |
| Entity Type | Individual |
| Full Name | CHESTER G KACZOR |
| Credential | PHARM.D. |
| Practice Address |
4749 Route 152 Lavalette WV 25535-9703 |
| Mailing Address |
1280 Spring Valley Dr Apartment # 8 Huntington WV 25701-4300 |
| Practice Telephone | 3045253992 |
| Mailing Telephone | 5672045050 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 03-1-27410 | OH | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP0006907 | WV | Pharmacy Service Providers |
| Street Address |
4749 ROUTE 152 |
| City | LAVALETTE |
| State | WV |
| Zip Code | 25535-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730605478 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4749 Route 152, Lavalette, WV 25535 | 2017-08-15 |
| 1013385749 | Sarah Whitney Johnson | Pharmacist | 4749 Route 152, Lavalette, WV 25535-9638 | 2015-09-11 |
| 1255707360 | Rite Aid Pharmacy | Pharmacy | 4749 Route 152, Lavalette, WV 25535-9638 | 2015-08-12 |
| 1659661882 | Zina-ann Cardozo | Pharmacist | 4749 Route 152, Lavalette, WV 25535-9638 | 2011-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821221110 | Virginia Leann Starkey | Physical Therapy Assistant | 5390 Lynn Creek Road, Lavalette, WV 25535 | 2009-09-02 |
| 1538206693 | Lavalette Volunteer Fire Dept | Ambulance | 4502 Route 152, Lavalette, WV 25535 | 2007-01-30 |
| 1760537591 | Gary Brian Eves | Dentist | 4602 Rt 152, Lavalette, WV 25535 | 2007-01-24 |
| 1043329386 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 4749 Us Route 152, Lavalette, WV 25535 | 2006-08-30 |
| 1548349442 | Lavalette Chiropractic Inc | Chiropractor | 4600a Route 152, Lavalette, WV 25535 | 2006-11-03 |
| 1396821526 | Todd Michael Trimboli | Dentist | 4751 Rt 152, Lavalette, WV 25535-0158 | 2006-10-31 |
| 1255340758 | Occupational Medicine, Inc. | Exclusive Provider Organization | 4552 Route 152, Lavalette, WV 25535-1180 | 2006-08-05 |
| 1942528336 | Professional Counseling & Consulting Services, LLC | Community/Behavioral Health | 4600a Rt. 152, Lavalette, WV 25535-1236 | 2010-05-10 |
| 1194963769 | Deron John Hammack | Emergency Medicine | 143 Beuhring St, Lavalette, WV 25535-8706 | 2009-02-04 |
| 1013516202 | Norma Lea Gilkerson | Technician | 460 Falls Branch Rd, Lavalette, WV 25535-8834 | 2020-10-20 |
| Find all providers in zip 25535 | ||||
| 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 |
|---|---|---|---|---|
| 1013385749 | Sarah Whitney Johnson | Pharmacist | 4749 Route 152, Lavalette, WV 25535-9638 | 2015-09-11 |
| 1659661882 | Zina-ann Cardozo | Pharmacist | 4749 Route 152, Lavalette, WV 25535-9638 | 2011-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
| 1700486156 | Dylan Tomblin | Pharmacist | 100 Buckhannon Xrds, Buckhannon, WV 26201-8422 | 2020-10-27 |
| 1134729643 | Cassie Lynch | Pharmacist | 148 Walmart Dr, Keyser, WV 26726-1805 | 2020-10-26 |
| 1417557992 | Gregory Spencer Glover | Pharmacist | 1976 Jefferson St N, Lewisburg, WV 24901-2209 | 2020-10-26 |
| 1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 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.