DR. MISTY LYNN GONZALEZ (NPI# 1164674313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164674313 |
| Entity Type | Individual |
| Full Name | DR. MISTY LYNN GONZALEZ |
| Credential | PHARM.D. |
| Practice Address |
400 Forest Ave Buffalo NY 14213-1207 |
| Mailing Address |
175 North St Apt 114 Buffalo NY 14201-1536 |
| Practice Telephone | 7168162438 |
| Practice Fax Number | 7168162496 |
| Mailing Telephone | 2196145397 |
| Mailing Fax Number | 7168162496 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
052570 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013336296 | Misty Roshel Gonzalez | Family Medicine | 2800 Fayetteville Rd, Van Buren, AR 72956-6523 | 2014-04-15 |
| Street Address |
400 FOREST AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14213-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588631485 | Andrea L. Derosas | Internal Medicine | 400 Forest Ave, Buffalo, NY 14213-1207 | 2006-03-01 |
| 1336799188 | William J Conroy | Registered Nurse | 400 Forest Ave, Buffalo, NY 14213-1207 | 2019-09-13 |
| 1164078176 | Nathan E Vanderbeck | Registered Nurse | 400 Forest Ave, Buffalo, NY 14213-1207 | 2019-08-15 |
| 1558917518 | Mary Walczak | Social Worker | 400 Forest Ave, Buffalo, NY 14213-1207 | 2019-08-15 |
| 1801379045 | Charisse Chehovich | Pharmacist | 400 Forest Ave, Buffalo, NY 14213-1207 | 2018-09-13 |
| 1114427283 | Diane E Marchitte | Registered Nurse | 400 Forest Ave, Buffalo, NY 14213-1207 | 2018-02-15 |
| 1558861716 | Christopher Lawrence | Licensed Practical Nurse | 400 Forest Ave, Buffalo, NY 14213-1207 | 2018-02-14 |
| 1083114391 | Louisa Fuoco Kelsey | Registered Nurse | 400 Forest Ave, Buffalo, NY 14213-1207 | 2018-02-14 |
| 1063910339 | Jessica R Vaccaro | Registered Nurse | 400 Forest Ave, Buffalo, NY 14213-1207 | 2018-01-31 |
| 1609384882 | Lisa Trapasso | Social Worker | 400 Forest Ave, Buffalo, NY 14213 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311445 | Shyana C Broughton | Doula | 145 16th Street, Back Cottage, Buffalo, NY 14213 | 2020-06-19 |
| 1366076663 | Wny Community Health Centers, Inc | Internal Medicine | 135 Grant Street, Buffalo, NY 14213 | 2020-02-25 |
| 1700449790 | Sumail Bhogal | Student in an Organized Health Care Education/Training Program | Dept of Orthopaedic Surgery, 3471 Fifth Avenue Kaufmann Medical Bldg, Suite 1010, Pittsburgh, PA 14213 | 2019-04-16 |
| 1104335066 | Hussein A Waris | Driver | 155 W Delavan Ave, Buffalo, NY 14213 | 2017-09-23 |
| 1154849305 | Yasmin Rivera | Case Manager/Care Coordinator | 368 Rhode Island St, Apt 2, Buffalo, NY 14213 | 2017-09-07 |
| 1912250978 | Cindy Schmidt | Registered Nurse | 370 Normal Avenue, Buffalo, NY 14213 | 2012-10-16 |
| 1023328747 | Lynn M Lent | Registered Nurse | 1300 Niagara Street, Buffalo, NY 14213 | 2010-10-15 |
| 1558590356 | Susan Lorraine Rozek | Pharmacist | 400 Forest Ave., Buffalo, NY 14213 | 2009-07-14 |
| 1669635959 | John R Metzen | Dentist | 463 W Delavan Ave, Buffalo, NY 14213 | 2008-07-07 |
| 1669653267 | Rona D'aniello | Dietitian, Registered | 184 Barton Street, Jericho Road Ministries, Buffalo, NY 14213 | 2007-11-25 |
| Find all providers in zip 14213 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659592210 | Tammie Lee M Demler | Pharmacist | 400 Forest Avenue, Buffalo, NY 14213 | 2007-05-01 |
| 1396197992 | Gary Sweet | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2016-07-07 |
| 1841553989 | Kelly Jean Krieger | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2012-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982030417 | Lisa Stetson | Pharmacist | 777 Seaview Avenue South Beach Psychiatric Center, Staten Island, NY 10305-3409 | 2013-09-16 |
| 1366680936 | Wing Dave Fai Mui | Pharmacist | 2596 E 26th St, Brooklyn, NY 11235-2418 | 2009-02-04 |
| 1215172556 | Nisha Franklin Thomas | Pharmacist | 79 Phillips Hill Rd, New City, NY 10956-4113 | 2008-12-15 |
| 1457502601 | Ronald Andre Lombino | Pharmacist | 79-25 Winchester Blvd, Queens Village, NY 11427-2147 | 2008-10-07 |
| 1619182847 | Jane Sundberg | Pharmacist | 601 Elmwood Box 638, Rochester, NY 14642-1228 | 2007-05-11 |
| 1174655518 | Foster D Myers IIi | Pharmacist | 625 Madison St, Syracuse, NY 13210 | 2007-03-12 |
| 1134126311 | Sudha Narayanaswamy | Pharmacist | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2005-07-05 |
| 1457826653 | Gerard Patrick Quinn | Pharmacist | 462 1st Ave, New York, NY 10016-9196 | 2018-10-04 |
| 1891166229 | Nasrin Ahmad | Pharmacist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2015-10-12 |
| 1740651249 | Maria Ogrodowski | Pharmacist | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2015-10-09 |
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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.