Provider Demographics
NPI:1841471331
Name:ACHMAN, JOANNE MARIE (RPH)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARIE
Last Name:ACHMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:MARIE
Other - Last Name:SIEPIERSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 CAROLINE LN
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-9276
Mailing Address - Country:US
Mailing Address - Phone:716-652-9441
Mailing Address - Fax:
Practice Address - Street 1:190 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-1633
Practice Address - Country:US
Practice Address - Phone:716-652-0330
Practice Address - Fax:716-805-0265
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01416191Medicaid