KELSEY R LUCZAK (NPI# 1376892224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376892224 |
Entity Type | Individual |
Full Name | KELSEY R LUCZAK |
Credential | PHARMD |
Practice Address |
10 Davol Square Suite 400 Providence RI 02903 |
Practice Telephone | 4014214000 |
Practice Fax Number | 4012721456 |
Mailing Telephone | 4014214000 |
Mailing Fax Number | 4012721456 |
Enumeration Date | 2012-09-06 |
Last Update Date | 2012-09-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RPH05118 | RI | Pharmacy Service Providers |
Street Address |
10 DAVOL SQUARE SUITE 400 |
City | PROVIDENCE |
State | RI |
Zip Code | 02903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
Find all providers in zip 02903 |
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 |
---|---|---|---|---|
1609301803 | Eugenio Fernandez Jr. | Pharmacist | 206 Cranston St, Providence, RI 02907-2308 | 2017-04-25 |
1619379682 | Priya Amin | Pharmacist | 10 Davol Sq Ste 400, Providence, RI 02903-4752 | 2014-09-22 |
1831503978 | Victor Liang | Pharmacist | 67 Medway St, Apt 1, Providence, RI 02906-4437 | 2014-06-17 |
1033521877 | Kelley Sanzen | Pharmacist | 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 | 2014-05-28 |
1114271780 | Jordan T Murphy | Pharmacist | 43 Ardoene St, Providence, RI 02907-3407 | 2012-11-05 |
1508148214 | Marielle Galera | Pharmacist | 903 Providence Pl Apt 310, Providence, RI 02903-7009 | 2011-09-20 |
1942591888 | Andrew Alexander | Pharmacist | 50 N Highway 165, Providence, UT 84332-6700 | 2011-04-26 |
1679863708 | Fiona A. Leo-mensah | Pharmacist | 200 Academy Ave, Providence, RI 02908-4453 | 2011-04-11 |
1396034575 | Bryan James Hubel | Pharmacist | 456 Branch Ave, Providence, RI 02904-2205 | 2011-03-28 |
1255658688 | Cha Yang | Pharmacist | 23 Warrington St, Providence, RI 02907-1921 | 2010-04-25 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02903 |
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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.