TERESA D KOSSAKOWSKI (NPI# 1740555960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740555960 |
| Entity Type | Individual |
| Full Name | TERESA D KOSSAKOWSKI |
| Credential | PHARMD, RPH |
| Practice Address |
2360 N Broadway Rochester MN 55906-4065 |
| Mailing Address |
460 S Emery Ave Peshtigo WI 54157-1526 |
| Practice Telephone | 5072820142 |
| Mailing Telephone | 6087809515 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 116066 | MN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 20307 | IA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 13338-40 | WI | Pharmacy Service Providers |
| Street Address |
2360 N BROADWAY |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906-4065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570805 | Patrick Ryan Odom | Counselor | 2360 N Broadway, Rochester, MN 55906-4065 | 2020-05-20 |
| 1952809600 | Whitney Parker | Counselor | 2360 N Broadway, Rochester, MN 55906-4065 | 2018-01-29 |
| 1902312325 | Rhonda Jean Priem | Licensed Practical Nurse | 2360 N Broadway, Rochester, MN 55906-4065 | 2017-12-21 |
| 1821504200 | Adrianna Lee Rackow | Licensed Practical Nurse | 2360 N Broadway, Rochester, MN 55906-4065 | 2017-12-20 |
| 1265948186 | Kimberly Jean Dejno | Counselor | 2360 N Broadway, Rochester, MN 55906-4065 | 2017-12-15 |
| 1124533070 | James Patrick Benson | Counselor | 2360 N Broadway, Rochester, MN 55906-4065 | 2017-12-13 |
| 1750773693 | Bhg Xl, LLC | Clinic/Center | 2360 N Broadway, Rochester, MN 55906-4065 | 2015-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| 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 |
|---|---|---|---|---|
| 1003449257 | Maurice D Bailey | Pharmacist | 75 Mona St, Rochester, NY 14609-3919 | 2020-02-17 |
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1073163770 | Samantha Jo Faso | Pharmacist | 286 Creighton Ln, Rochester, NY 14612-2225 | 2019-09-13 |
| 1255813028 | Cassandra Nicolia | Pharmacist | 898 Guinevere Dr, Rochester, NY 14626-4344 | 2018-08-29 |
| 1023596210 | Hayden Brayer | Pharmacist | 1431 Mount Hope Ave, Rochester, NY 14620-3912 | 2018-07-31 |
| 1295211654 | John Maher | Pharmacist | Mayo Clinic Pharmacy 200 First Street Sw, Rochester, MN 55905-0001 | 2018-07-18 |
| 1497250732 | Dylan Michael Barth | Pharmacist | 1301 1st St Sw Apt B2, Rochester, MN 55902-0337 | 2018-03-28 |
| 1235646498 | Nesreen Mughrabi-jenad | Pharmacist | 4221 W Circle Dr Nw, Rochester, MN 55901-8788 | 2018-01-09 |
| 1477081180 | Thu Hoang | Pharmacist | 1027 7th St Nw Ste 204, Rochester, MN 55901-2666 | 2017-05-24 |
| 1205373248 | Alexandra Schmitt | Pharmacist | 139 Dove Tree Ln, Rochester, NY 14626-4722 | 2017-01-29 |
| Find all providers in ROCHESTER | ||||
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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.