DR. DEMETRIE SEZIBERA (NPI# 1174124069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174124069 |
| Entity Type | Individual |
| Full Name | DR. DEMETRIE SEZIBERA |
| Credential | PHARMD. |
| Practice Address |
2601 S Cicero Ave Cicero IL 60804-3644 |
| Practice Telephone | 7086528596 |
| Mailing Telephone | 7086528596 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051302495 | IL | Pharmacy Service Providers |
| Street Address |
2601 S CICERO AVE |
| City | CICERO |
| State | IL |
| Zip Code | 60804-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215954508 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 2601 S Cicero Ave, Cicero, IL 60804-3644 | 2006-07-16 |
| 1013563253 | Miguel Antonio Recinos | Pharmacist | 2601 S Cicero Ave, Cicero, IL 60804-3644 | 2019-08-14 |
| 1578663712 | Sam's Club Optical | Technician/Technologist | 2601 S Cicero Ave, Cicero, IL 60804-3644 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
| 1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
| 1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
| 1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
| 1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
| 1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
| 1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
| 1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
| Find all providers in zip 60804 | ||||
| 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 |
|---|---|---|---|---|
| 1942542501 | Sara Jane Micale | Pharmacist | 8702 Whiting Rd, Cicero, NY 13039-8819 | 2013-03-21 |
| 1740524834 | Travis W Boevin | Pharmacist | 8221 Hoyt Farm, Cicero, NY 13039-8931 | 2012-11-15 |
| 1245589852 | Samantha Danielle Dillon | Pharmacist | 8061 Brewerton Road, Cicero, NY 13039 | 2012-08-29 |
| 1790060507 | Charles Alan Turner | Pharmacist | 4800 W Cermak Road, Cicero, IL 60804-2531 | 2011-10-13 |
| 1558684852 | Stacey M Banta | Pharmacist | 6189 Route 31, Walgreens Pharmacy, Cicero, NY 13039 | 2010-03-02 |
| 1336325133 | Thomas Anthony Forleo | Pharmacist | 7939 Brewerton Rd, Cicero, NY 13039-9561 | 2008-01-11 |
| 1942484456 | Emily Caitlin Foor | Pharmacist | 6189 Rt 31, Cicero, NY 13039 | 2007-12-19 |
| 1558544015 | Alan B Schwartz | Pharmacist | 8379 Thompson Rd, Cicero, NY 13039-9390 | 2007-12-07 |
| 1932232204 | Melissa M O'donnell | Pharmacist | 8061 Brewerton Rd, Cicero, NY 13039 | 2007-03-14 |
| 1881697308 | James R Capone | Pharmacist | 5701 E Circle Dr, Cicero, NY 13039-8638 | 2005-05-30 |
| Find all providers in CICERO | ||||
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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.