HALEY NICOLE ILCEWICZ (NPI# 1043784515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043784515 |
| Entity Type | Individual |
| Full Name | HALEY NICOLE ILCEWICZ |
| Practice Address |
1 Medical Center Dr Dept Of Morgantown WV 26506-1200 |
| Mailing Address |
Po Box 8045 Morgantown WV 26506-8045 |
| Practice Telephone | 3045984148 |
| Mailing Telephone | 3045984148 |
| Mailing Fax Number | 3045984073 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0010530 | WV | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | PHARMACIST | RP0010530 | 01 |
| Street Address |
1 MEDICAL CENTER DR DEPT OF |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623725 | Amy Kennedy | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-09-10 |
| 1083223952 | Bradley Troyer | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-07-27 |
| 1174132088 | Megan Ciborowski | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-07-27 |
| 1972139970 | Gabriella Casinelli | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-03-21 |
| 1154970705 | Thomas William Szymanski | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2019-09-06 |
| 1770046906 | Gabrielle Cozzi | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2019-04-14 |
| 1811477367 | Kelly Lynn Collins | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2018-08-15 |
| 1871034298 | Stevan Budi | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2017-03-17 |
| 1184091498 | Muhammad Khan | Internal Medicine | 1 Medical Center Dr Dept Of, Morgantown, WV 26506 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| 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 |
|---|---|---|---|---|
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 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 |
| 1225681893 | Ronald Selders II | Pharmacist | 178 Mccormick Hollow Rd, Morgantown, WV 26508-9486 | 2019-07-22 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1437605227 | Kendall Kori Rouleau | Pharmacist | 5001 University Towne Center Dr, Morgantown, WV 26501-2267 | 2016-08-31 |
| 1548626914 | Hilary Hicks | Pharmacist | 500 Suncrest Centre, Morgantown, WV 26505 | 2016-01-14 |
| 1104201847 | Brian William Bedwick | Pharmacist | 215 Don Knotts Blvd Ste 120, Morgantown, WV 26501-6734 | 2015-07-23 |
| 1194113720 | Hank S Washer | Pharmacist | 205 West Gl Smith Street, Morgantown, KY 42261 | 2015-01-06 |
| 1902200165 | Kathy Hibbs | Pharmacist | 889 Venture Dr Ste 2, Morgantown, WV 26508-7311 | 2014-10-17 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on HALEY NICOLE ILCEWICZ.
| 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.