MR. EZRA GRUSZYNSKI (NPI# 1427397207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427397207 |
| Entity Type | Individual |
| Full Name | MR. EZRA GRUSZYNSKI |
| Credential | PHARMD |
| Practice Address |
710 Main Ave Crivitz WI 54114-1664 |
| Practice Telephone | 7158547425 |
| Practice Fax Number | 7158547326 |
| Mailing Telephone | 7158547425 |
| Mailing Fax Number | 7158547326 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13458-040 | WI | Pharmacy Service Providers |
| Street Address |
710 MAIN AVE |
| City | CRIVITZ |
| State | WI |
| Zip Code | 54114-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679542062 | Megs Pharmacy Inc | Pharmacy | 710 Main Ave, Crivitz, WI 54114-1664 | 2006-03-16 |
| 1619512456 | Brian William Plucker | Pharmacist | 710 Main Ave, Crivitz, WI 54114-1664 | 2019-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548437155 | Crivitz Medical Center | Family Medicine | 213 S Hwy 141, Crivitz, WI 54114 | 2008-05-13 |
| 1306200472 | Kellen Blanck-grott | Chiropractor | 709 Dyer St, Crivitz, WI 54114 | 2016-04-05 |
| 1306048822 | Glen R Ledvina | Chiropractor | 107 N Highway 141, Crivitz, WI 54114-0008 | 2007-06-05 |
| 1306063185 | Newcare Inc | Physical Therapist | 903 Main Avenue, Crivitz, WI 54114-0460 | 2007-04-20 |
| 1700984374 | Kevin J Pepin | Dentist | 302 Hall Avenue, Crivitz, WI 54114-1442 | 2006-09-20 |
| 1780637595 | The Crivitz Rescue Squad, Inc | Ambulance | 1020 Henriette Ave, Crivitz, WI 54114-1536 | 2006-05-19 |
| 1720410038 | Virginia L Deschane | Registered Nurse | 602 Lulu Ave, Crivitz, WI 54114-1584 | 2013-08-08 |
| 1659878122 | Erin Marie Rill | Registered Nurse | 602 Lulu Ave, Crivitz, WI 54114-1584 | 2018-04-10 |
| 1467574236 | New Care, Inc. | Skilled Nursing Facility | 903 Main Ave, Crivitz, WI 54114-1619 | 2007-04-04 |
| 1861793622 | Chassie Le Olson | Physical Therapy Assistant | 903 Main Ave, Crivitz, WI 54114-1619 | 2010-11-10 |
| Find all providers in zip 54114 | ||||
| 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 |
|---|---|---|---|---|
| 1619512456 | Brian William Plucker | Pharmacist | 710 Main Ave, Crivitz, WI 54114-1664 | 2019-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
| 1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.