DR. BENJAMIN ROBERT BRATEK (NPI# 1306458229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306458229 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN ROBERT BRATEK |
| Credential | PHARM.D. |
| Practice Address |
800 Irving Ave Syracuse NY 13210-2716 |
| Mailing Address |
106 Downing Rd De Witt NY 13214-1503 |
| Practice Telephone | 3154254400 |
| Mailing Telephone | 3154815182 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 066842 | NY | Pharmacy Service Providers |
| Street Address |
800 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931926 | Thomas Patrick Lynch Jr. | Pharmacist | 800 Irving Ave, Pharmacy (119), Syracuse, NY 13210-2716 | 2005-09-09 |
| 1629695655 | Carrie-jo Elizabeth Farrugia | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1144847120 | Alexis Anne Baker | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1285274092 | Matthew Byrne Gostowski | Physical Therapist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-01-09 |
| 1740829225 | Robert Laufer | Technician | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-12-31 |
| 1043856156 | Bethany Kelley | Physician Assistant | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-24 |
| 1336784479 | Wendy Sue Colt | Registered Nurse | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-13 |
| 1295386753 | Judith Kenific | Technician | 800 Irving Ave, Syracuse, NY 13210 | 2019-09-26 |
| 1306496328 | Danielle Marie Bieling | Nurse Practitioner | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-09-12 |
| 1457909350 | Alice Sue Geisel | Technician | 800 Irving Ave, Syracuse, NY 13210 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| 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 |
|---|---|---|---|---|
| 1154979102 | Kourtnei-rae Lorraine Gondeck | Pharmacist | 6040 Tarbell Rd Ste 103, Syracuse, NY 13206-1348 | 2019-09-03 |
| 1972155265 | Daniel Faliy | Pharmacist | 406 Butternut St, Syracuse, NY 13208-2627 | 2019-07-16 |
| 1932688272 | Tori Rachel Hoffman | Pharmacist | 792 N Main St Ste 200c, Syracuse, NY 13212-1673 | 2018-08-08 |
| 1912375395 | Kama Thomas | Pharmacist | 1237 E Genesee St, Apt 1, Syracuse, NY 13210-1977 | 2015-09-02 |
| 1588052021 | Cory Ryan Villanueva | Pharmacist | 329 N Salina St Ste P, Syracuse, NY 13203-1755 | 2015-01-07 |
| 1932483781 | Toni Marie Hammer | Pharmacist | 1405 East Genesee St, Syracuse, NY 13210 | 2011-09-28 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| 1366767725 | Ramesh A Shah | Pharmacist | 22 Turnstone Cir, Syracuse, NY 13219-1555 | 2010-03-29 |
| 1871817197 | Steven M St.onge | Pharmacist | 349 Clairmonte Ave, Syracuse, NY 13207-1306 | 2010-03-15 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| Find all providers in SYRACUSE | ||||
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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.