DR. KAITLIN ANN PRUSKOWSKI (NPI# 1528516523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528516523 |
| Entity Type | Individual |
| Full Name | DR. KAITLIN ANN PRUSKOWSKI |
| Credential | PHARMD |
| Practice Address |
3698 Chambers Pass Jbsa Ft Sam Houston TX 78234-7766 |
| Mailing Address |
633 S Saint Marys St Apt 5208 San Antonio TX 78205-3493 |
| Practice Telephone | 2109162876 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835C0205X |
Pharmacist Specialization: Critical Care |
22526 | MD | Pharmacy Service Providers |
| N | 1835C0205X |
Pharmacist Specialization: Critical Care |
RPI008687 | PA | Pharmacy Service Providers |
| Y | 1835C0205X |
Pharmacist Specialization: Critical Care |
RP448789 | PA | Pharmacy Service Providers |
| Street Address |
3698 CHAMBERS PASS |
| City | JBSA FT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-7766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902827934 | Kevin Scott Akers | Internal Medicine | 3698 Chambers Pass, Jbsa Ft Sam Houston, TX 78234-7766 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 1835C0205X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Critical Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778931 | Caroline Elizabeth Conner | Pharmacist | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252110 | Jacob Gomez | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2020-10-14 |
| 1629698030 | Diane Dreucean | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2020-04-26 |
| 1447870209 | Annette Delovino Lista | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2020-04-22 |
| 1659907517 | Marian Gaviola | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-03-22 |
| 1114573870 | Christina Tran | Pharmacist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2019-08-16 |
| 1003349747 | Moses Musoke | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2017-04-10 |
| 1770039596 | Heidi Michaels | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2016-08-31 |
| 1861948689 | Olga Shvarts | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2016-08-31 |
| City | JBSA FT SAM HOUSTON |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on DR. KAITLIN ANN PRUSKOWSKI.
| 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.