MR. STAN PETER LISEWSKI


Address: 4 Kerski Dr, Oxford, CT 06478-1170
Phone: 2038810758

MR. STAN PETER LISEWSKI (NPI# 1972850485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972850485
Entity Type Individual
Full Name MR. STAN PETER LISEWSKI
Credential RPH
Practice Address 4 Kerski Dr
Oxford
CT 06478-1170
Practice Telephone 2038810758
Mailing Telephone 2038810758
Enumeration Date 2012-08-14
Last Update Date 2012-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 0617 CT Pharmacy Service Providers

Office Location

Street Address 4 KERSKI DR
City OXFORD
State CT
Zip Code 06478-1170

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1528420270 Kristin Grasso Marriage & Family Therapist 5a Silano Drive, Oxford, CT 06478 2016-03-22
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1952488520 Cornerstone Medical Services LLC Durable Medical Equipment & Medical Supplies 115 Hurley Rd Ste 4a, Oxford, CT 06478-1046 2006-11-01
1548713746 Price Chopper Inc Pharmacy 140 Main St, Oxford, CT 06478-1056 2016-07-25
1356511521 Apria Healthcare Inc Durable Medical Equipment & Medical Supplies 1 Jacks Hill Rd, Ste 1, Oxford, CT 06478-1190 2008-03-04
1992714208 Renee Joyce Richardson Nurse's Aide 46 Towner Ln, Oxford, CT 06478-1211 2006-08-05
1407415052 Mind Body Well Therapy, Pllc Counselor 160 Christian St, Oxford, CT 06478-1221 2019-06-07
1780674242 Oxford Ambulance Association Inc Ambulance 484 Oxford Rd, Oxford, CT 06478-1233 2005-10-26
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285235333 Ann Elizabeth Sutherland Pharmacist 9038 Coatbridge Dr, Oxford, MS 38655-7396 2020-11-05
1174123566 Lisa Kincaid Odom Pharmacist 218 Woodland Hills Dr, Oxford, MS 38655-9770 2020-10-27
1760002158 Rebecca Arrington Pharmacist 69 Red Rome Rd, Oxford, AL 36203-4886 2020-04-25
1144877804 Cassandra Sullivan Pharmacist 502 Woodland Hills Dr, Oxford, MS 38655-9790 2019-08-19
1194248518 Shena Ashley Willard Pharmacist 2495 Old Taylor Rd Unit 206, Oxford, MS 38655-5181 2017-07-18
1972038495 Brittany Adams Pharmacist 215 Williamsboro Street, Oxford, NC 27565 2017-04-21
1659753572 Jordan Marie Ballou Pharmacist 2495 Old Taylor Rd Unit 107, Oxford, MS 38655-5181 2015-06-27
1720492333 Spingarn Crump Pharmacist 46 S 3rd St, Oxford, PA 19363-1603 2014-06-12
1104196476 Charles Frederick Wurth Pharmacist 518 Hwy 331, Oxford, MS 38655 2012-01-04
1255620118 Richard Leslie Samples Pharmacist 4880 Us Highway 78 W, Oxford, AL 36203-6100 2011-03-31
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City OXFORD
Zip Code 06478

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Dataset Information

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.

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