DR. JUSTIN MUKLEWICZ (NPI# 1124643754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124643754 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MUKLEWICZ |
| Credential | PHARMD |
| Practice Address |
975 Kirman Ave Reno NV 89502-0993 |
| Mailing Address |
14001 Summit Sierra Blvd Unit 3081 Reno NV 89511-9343 |
| Practice Telephone | 8888386256 |
| Mailing Telephone | 9413760584 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS57810 | FL | Pharmacy Service Providers |
| Street Address |
975 KIRMAN AVE |
| City | RENO |
| State | NV |
| Zip Code | 89502-0993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881698421 | Barnali Gupta | Internal Medicine | 975 Kirman Ave, Reno, NV 89502-0993 | 2005-06-10 |
| 1437758117 | Sierra Jordan Sanchez | Social Worker | 975 Kirman Ave, Reno, NV 89502-0997 | 2020-10-22 |
| 1720606171 | Aaron Kim | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-07-13 |
| 1376167320 | Carmen Marie Honnef | Dietitian, Registered | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-06-05 |
| 1407479074 | Craig Ratliff | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-05-18 |
| 1083234793 | Nhien Nguyen | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-04-22 |
| 1053947242 | Keilana Melissa Fisher | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0997 | 2020-03-19 |
| 1588297105 | Robert Khoury | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-02-21 |
| 1164069597 | Adam Willett | Social Worker | 975 Kirman Ave, Reno, NV 89502-0997 | 2019-12-04 |
| 1720624893 | Teresa Mae French | Social Worker | 975 Kirman Ave, Reno, NV 89502-0993 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| 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 |
|---|---|---|---|---|
| 1629483961 | Ghayda Alrass | Pharmacist | 404 Luciana Dr, Reno, NV 89521-4288 | 2014-06-25 |
| 1962715979 | Kimberly Jacques | Pharmacist | 975 Kirman Ave # 119, Reno, NV 89502-0993 | 2010-07-19 |
| 1417285636 | Carrie Ann Nolan | Pharmacist | 495 Morrill Ave, Unit 9, Reno, NV 89512-3579 | 2009-11-28 |
| 1619126141 | Nikki Marie Beck | Pharmacist | 9495 Oakley Ln, Reno, NV 89521-6102 | 2008-09-09 |
| 1356361323 | Lisa Lee Bryan | Pharmacist | 1000 Locust St # 119, Reno, NV 89502-2597 | 2006-07-20 |
| 1013903053 | Arthur L Allen | Pharmacist | 1000 Locust St, Pharmacy 119, Reno, NV 89502-2597 | 2005-09-26 |
| 1780208397 | Elyssa Karyl Jamora Valencerina | Pharmacist | 975 Kirman Ave # 119, Reno, NV 89502-0997 | 2020-05-31 |
| 1407479074 | Craig Ratliff | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-05-18 |
| 1588297105 | Robert Khoury | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-02-21 |
| 1265064661 | Jack Wright | Pharmacist | 175 Lemmon Dr, Reno, NV 89506-6757 | 2020-02-04 |
| Find all providers in RENO | ||||
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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.