DR. PAUL KOSTISHAK (NPI# 1326550716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326550716 |
| Entity Type | Individual |
| Full Name | DR. PAUL KOSTISHAK |
| Credential | PHARMD |
| Practice Address |
2702 Chestnut Rd Elizabethtown PA 17022-9058 |
| Practice Telephone | 7178778946 |
| Mailing Telephone | 7178778946 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP450107 | PA | Pharmacy Service Providers |
| Street Address |
2702 CHESTNUT RD |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-9058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| 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 |
|---|---|---|---|---|
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1871039560 | Tiffany Fassnacht | Pharmacist | 2403 3rd Ave, Elizabethtown, NC 28337-8983 | 2017-01-18 |
| 1205235413 | Gena Rae Bickhart | Pharmacist | 348 Sunrise Blvd, Elizabethtown, PA 17022-1436 | 2014-08-14 |
| 1609291277 | Michael Voutsas | Pharmacist | 443 Hilltop Cir, Elizabethtown, PA 17022-9659 | 2014-02-19 |
| 1609128735 | Joseph Anthony Hamm | Pharmacist | 1809 N Dixie Hwy, Elizabethtown, KY 42701-9451 | 2012-10-13 |
| 1326321852 | Vincent Keith Barnes | Pharmacist | 711 Landsdowne Ct, Elizabethtown, KY 42701-2103 | 2011-09-21 |
| 1508148719 | Orady Senamoontry | Pharmacist | 1602 N Dixie Hwy, Elizabethtown, KY 42701-2682 | 2011-09-13 |
| 1629350988 | Stacey Marie Morrison | Pharmacist | 371 S. Poplar Street, Elizabethtown, NC 28337-8841 | 2011-09-13 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
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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.