SUSAN KSENAK (NPI# 1508263443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508263443 |
| Entity Type | Individual |
| Full Name | SUSAN KSENAK |
| Practice Address |
2209 John R Wooden Dr Martinsville IN 46151-1840 |
| Practice Telephone | 7653496517 |
| Practice Fax Number | 7653496407 |
| Mailing Telephone | 7653496517 |
| Mailing Fax Number | 7653496407 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26014749A | IN | Pharmacy Service Providers |
| Street Address |
2209 JOHN R WOODEN DR |
| City | MARTINSVILLE |
| State | IN |
| Zip Code | 46151-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717928 | Stephen L Hardin | Family Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2005-08-11 |
| 1609497247 | John D Bowman | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2020-05-06 |
| 1356977540 | Giesla Potter | Dietitian, Registered | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2020-03-19 |
| 1275036147 | Amanda Jo Throckmorton | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2018-03-16 |
| 1629584396 | In Post Acute Specialists, PC | Emergency Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2017-12-18 |
| 1588015762 | Fnu Taneem Sultana | Internal Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2016-06-28 |
| 1255716114 | James Branam | Counselor | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2015-07-21 |
| 1316344260 | Diane Kutruff | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-11-20 |
| 1407256852 | Lori Wronowicz Frasher | Nurse Practitioner | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-09-03 |
| 1740608926 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061341 | Curtis Andrew Legg | Chiropractor | 1100 In-39 Bypass, Martinsville, IN 46151 | 2017-08-30 |
| 1922448919 | Patricia Ann Watts | Clinic/Center | 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 | 2013-07-05 |
| 1962700856 | Keather Kent | Behavioral Analyst | 1375 E Morgan St., Martinsville, IN 46151 | 2011-03-02 |
| 1124235783 | Weaver Chiropractic Center PC | Chiropractor | 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 | 2007-05-16 |
| 1629197991 | James Clinton Weaver | Chiropractor | 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 | 2007-03-28 |
| 1134212988 | Nathaniel H Hall | Dentist | 829 Plaza Drive, Martinsville, IN 46151 | 2006-10-02 |
| 1952404634 | Hook Superx LLC | Pharmacy | 789 State Rd 39 By Pass, Martinsville, IN 46151 | 2006-09-07 |
| 1992753453 | Community Partners In Prenatal Care Inc | Local Education Agency (LEA) | 389 N Jefferson St, Martinsville, IN 46151 | 2006-05-05 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1659447332 | Richard Travis Dotterer Jr. | Optometrist | 410 Grand Valley Blvd, Martinsville, IN 46151 | 2006-11-27 |
| Find all providers in zip 46151 | ||||
| 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 |
|---|---|---|---|---|
| 1336763390 | Julie A Drapalik | Pharmacist | 2415 Observatory Rd, Martinsville, IN 46151-7837 | 2020-06-04 |
| 1295384758 | Nicholas Aaron Vermillion | Pharmacist | 789 State Road 39 Byp S, Martinsville, IN 46151-2127 | 2019-09-08 |
| 1689936460 | Kayla C Griffin | Pharmacist | 240 Commonwealth Blvd W Ste 702, Martinsville, VA 24112-1951 | 2012-06-08 |
| 1891070165 | Stephen Imperato | Pharmacist | 83 Hillcrest Rd, Martinsville, NJ 08836 | 2011-10-18 |
| 1689959447 | Warren Leon Wilkinson II | Pharmacist | 240 West Commonwealth Blvd., Kroger Pharmacy, Martinsville, VA 24112 | 2011-10-12 |
| 1396025003 | Mark C Warner | Pharmacist | 943 Mulberry Rd, Martinsville, VA 24112-4416 | 2011-08-25 |
| 1396067021 | William Leonard Parker | Pharmacist | 2876 Greensboro Rd, Martinsville, VA 24112-8109 | 2010-02-22 |
| 1710974621 | Martin Jasion | Pharmacist | 1990 Washington Valley Rd, Martinsville, NJ 08836-2057 | 2005-10-05 |
| 1083214233 | Tonette Ramion | Pharmacist | 410 Grand Valley Blvd, Martinsville, IN 46151-6123 | 2020-10-27 |
| 1306446778 | Jordan Gipe | Pharmacist | 410 Grand Valley Blvd, Martinsville, IN 46151-6123 | 2020-10-27 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
Please comment or provide details below to improve the information on SUSAN KSENAK.
| 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.