DR. KATIE LYNN KACMARIK (NPI# 1366862443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366862443 |
Entity Type | Individual |
Full Name | DR. KATIE LYNN KACMARIK |
Credential | PHARMD |
Practice Address |
118 Lafayette Ave Moundsville WV 26041-1029 |
Practice Telephone | 3048450390 |
Practice Fax Number | 3048450391 |
Mailing Telephone | 3048450390 |
Enumeration Date | 2014-04-16 |
Last Update Date | 2014-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RP0007912 | WV | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0143297000 | 05 | |
WV | MEDICARE ID - TYPE UNSPECIFIED | 0372590001 | 01 |
Street Address |
118 LAFAYETTE AVE |
City | MOUNDSVILLE |
State | WV |
Zip Code | 26041-1029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083726475 | Jason M Turner | Pharmacist | 118 Lafayette Ave, Moundsville, WV 26041-1029 | 2006-08-31 |
1992225445 | Amber M Conrad | Pharmacist | 118 Lafayette Ave, Moundsville, WV 26041-1029 | 2017-06-26 |
1790867570 | Pharmacole Inc | Pharmacy | 118 Lafayette Ave, Moundsville, WV 26041-1029 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093272577 | Tonya Sue Roush | Technician | 2056 Center Street, Moundsville, WV 26041 | 2019-02-21 |
1720568264 | Christina Robinson | Registered Nurse | Washington Lands Elementary, 116 School Rd., Moundsville, WV 26041 | 2018-08-15 |
1962935296 | Tracy A. Zang | Dentist | 112 Correctional Dr., Northern Regional Correctional Facility, Moundsville, WV 26041 | 2017-04-04 |
1154861052 | Andrea Garrison | Specialist/Technologist | 633 Blairs Ridge Rd, Moundsville, WV 26041 | 2017-02-27 |
1932643418 | First Settlement Physical Therapy | Physical Therapist | 1216 Lafayette Ave, Moundsville, WV 26041 | 2016-12-19 |
1245772177 | The Village Network | Community/Behavioral Health | 52 Fourteenth Street, Wheeling, WV 26041 | 2016-11-09 |
1144516683 | Sarah D Dean | Counselor | 324 7th and Lafayette Street, Moundsville, WV 26041 | 2011-06-23 |
1114101540 | Becky Poling | Speech-Language Pathologist | 2700 Eastern Fourth Street, Moundsville, WV 26041 | 2007-12-20 |
1871775213 | Cathy Jones | Registered Nurse | 2700 Fourth Street, Marshall County Board of Education, Moundsville, WV 26041 | 2007-11-28 |
1326262536 | Marshall County Health Department | Public Health or Welfare | 6th Street & Court Avenue, Moundsville, WV 26041 | 2007-04-12 |
Find all providers in zip 26041 |
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 |
---|---|---|---|---|
1932554268 | Bradley Balestra | Pharmacist | 1212 Lafayette Ave, Moundsville, WV 26041-2315 | 2016-04-23 |
1528207420 | Peter Joseph Mysliwiec IIi | Pharmacist | 120 Jefferson Ave, Moundsville, WV 26041-1411 | 2009-02-17 |
1881706299 | Adele Marie Storm | Pharmacist | 115 Lafayette Ave, Moundsville, WV 26041-1028 | 2006-08-31 |
1083726475 | Jason M Turner | Pharmacist | 118 Lafayette Ave, Moundsville, WV 26041-1029 | 2006-08-31 |
1174123525 | Walter Robert Yates | Pharmacist | 10 Walmart Dr, Moundsville, WV 26041-1187 | 2020-10-27 |
1740880137 | Derek Yoho | Pharmacist | 10 Walmart Dr, Moundsville, WV 26041-1187 | 2020-10-27 |
1194325696 | Richard Dennis Border Jr. | Pharmacist | 10 Walmart Dr, Moundsville, WV 26041-1187 | 2020-10-26 |
1043827785 | Jessica Balestra | Pharmacist | 1114 Lafayette Ave, Moundsville, WV 26041-2313 | 2020-09-27 |
1578182325 | Mackenzie Alexandria Belcher | Pharmacist | 1300 Lafayette Ave, Moundsville, WV 26041-2317 | 2020-04-13 |
1992351233 | Aubrey Rachelle Lemasters | Pharmacist | 1300 Lafayette Ave, Moundsville, WV 26041-2317 | 2019-08-13 |
Find all providers in MOUNDSVILLE |
City | MOUNDSVILLE |
Zip Code | 26041 |
Please comment or provide details below to improve the information on DR. KATIE LYNN KACMARIK.
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.