DR. BARBARA N. FAVREAU (NPI# 1457616047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457616047 |
| Entity Type | Individual |
| Full Name | DR. BARBARA N. FAVREAU |
| Credential | PHARM.D. |
| Practice Address |
736 Irving Ave Pharmacy Department Syracuse NY 13210-1687 |
| Practice Telephone | 3154705680 |
| Practice Fax Number | 3154702842 |
| Mailing Telephone | 3154705680 |
| Mailing Fax Number | 3154702842 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
038630 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962649574 | Barbara Coon Favreau | Physician Assistant | 2350 Schillinger Road South, Suite A, Mobile, AL 36695 | 2009-01-20 |
| Street Address |
736 IRVING AVE PHARMACY DEPARTMENT |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485056 | Jesse S Williams | Internal Medicine | 736 Irving Ave, Syracuse, NY 13210-1687 | 2005-05-31 |
| 1417555079 | Drake Kingdon Burgess | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1265030753 | Mallory Conner | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1073129029 | Kaitlyn Hazelmyer | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-09-16 |
| 1518571876 | Jessica Garza | Pharmacist | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-09-03 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1457975567 | Clare Murphy | Speech-Language Pathologist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-04 |
| 1609498062 | Christopher James Limoncelli | Physical Therapist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-05-08 |
| 1265060016 | Amanda Lynn Webb | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-03-28 |
| 1760013312 | Rebecca Lea Wells-stowe | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-02-03 |
| 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 | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669606851 | Michael James Schmidt | Pharmacist | 112 Seneca View Dr, Syracuse, NY 13209-1814 | 2009-05-04 |
| 1518571876 | Jessica Garza | Pharmacist | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-09-03 |
| 1508474404 | Taylor Hansen | Pharmacist | 951 W 1700 S, Syracuse, UT 84075-9127 | 2020-07-16 |
| 1396379061 | Darcie Daniels | Pharmacist | 951 W 1700 S, Syracuse, UT 84075-9127 | 2020-03-02 |
| 1134782519 | Jason Boyce | Pharmacist | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-04-21 |
| 1508264284 | Jane Jaeun Kwon | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2014-12-12 |
| 1467859652 | Kyle Hacker | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2014-12-03 |
| 1952704611 | Karen Ann Potter | Pharmacist | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2014-10-08 |
| 1023458312 | Christine Mary Stork-medicis | Pharmacist | 750 E Adams St, Syracuse, NY 13210-2342 | 2013-07-01 |
| 1245570985 | Kelly Rose Ulen | Pharmacist | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2013-02-17 |
| 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.